Jaclyn Sisskind, MD in Baldwinsville, NY

Jaclyn Sisskind, MD is a medicare enrolled "Pediatrics" physician in Baldwinsville, New York. Her current practice location is 3448 Route 31, Baldwinsville, New York. You can reach out to her office (for appointments etc.) via phone at (315) 622-6395.

Jaclyn Sisskind is licensed to practice in New York (license number 264529) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629202783.

Contact Information

	Jaclyn Sisskind, MD
	3448 Route 31, Baldwinsville, NY 13027
	(315) 622-6395
	(315) 622-3298

Map and Direction

Physician's Profile

Full Name	Jaclyn Sisskind
Gender	Female
Speciality	Pediatrics
Location	3448 Route 31, Baldwinsville, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629202783
Provider Enumeration Date: 05/05/2009
Last Update Date: 09/27/2024

Medicare PECOS Information:

PECOS PAC ID: 3971828377
Enrollment ID: I20150205001877

Medical Identifiers

Medical identifiers for Jaclyn Sisskind such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629202783	NPI	-	NPPES
03495585	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	264529 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaclyn Sisskind allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Service Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Sisskind is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jaclyn Sisskind, MD 3448 Route 31, Baldwinsville, NY 13027 Ph: (315) 622-6395	Jaclyn Sisskind, MD 3448 Route 31, Baldwinsville, NY 13027 Ph: (315) 622-6395

Reviews and Comments

Pediatrics Doctors in Baldwinsville, NY

Ellen Marie Schurman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3448 State Route 31, Baldwinsville, NY 13027 Phone: 315-622-6595 Fax: 315-622-3298
Tobey Ann Kresel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3448 State Route 31, Baldwinsville, NY 13027 Phone: 315-622-6595 Fax: 315-622-3298
Yekaterina A. Okhman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3448 Route 31, Baldwinsville, NY 13027 Phone: 315-622-6595 Fax: 315-622-3298

Jaclyn Sisskind, MD - Medicare Pediatrics in Baldwinsville, NY