Ms Deborah R Jacques, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Camillus, New York. Her current practice location is
68 Main St, Camillus, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 744-5145.
Ms Deborah R Jacques is licensed to practice in New York (license number P84258) 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 1902168941.
Physician's Profile
| Full Name | Ms Deborah R Jacques |
|---|
| Gender | Female |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 68 Main St, Camillus, 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: 1902168941
- Provider Enumeration Date: 06/14/2012
- Last Update Date: 10/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 1456604735
- Enrollment ID: I20181102002399
Medical Identifiers
Medical identifiers for Ms Deborah R Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902168941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | P84258 (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. Ms Deborah R Jacques allows following entities to bill medicare on her behalf.
| Entity Name | Crawford Physical Therapy Pllc |
|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Entity Identifiers | NPI Number: 1184441123
PECOS PAC ID: 0244764710
Enrollment ID: O20241107000459 |
|---|
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. Ms Deborah R Jacques 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 |
|---|
Ms Deborah R Jacques, DPT
2024 Canal Rd,
Memphis, NY 13112-9799
Ph: (315) 744-5145 | Ms Deborah R Jacques, DPT
68 Main St,
Camillus, NY 13031
Ph: (315) 744-5145 |
Reviews and Comments