Carolyn Marie Jane, in Gurnee, IL - Medicare Occupational Therapist Provider

Carolyn Marie Jane, is a medicare enrolled "Occupational Therapist" provider in Gurnee, Illinois. Her current practice location is 3775 Grand Ave, Gurnee, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 623-6300.

Carolyn Marie Jane is licensed to practice in Illinois (license number 056.002558) 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 1629563283.

Contact Information

	Carolyn Marie Jane,
	3775 Grand Ave, Gurnee, IL 60031-2909
	(847) 623-6300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carolyn Marie Jane
Gender	Female
Speciality	Occupational Therapist
Location	3775 Grand Ave, Gurnee, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629563283
Provider Enumeration Date: 06/26/2018
Last Update Date: 06/26/2018

Medicare PECOS Information:

PECOS PAC ID: 1456713460
Enrollment ID: I20230808001843

Medical Identifiers

Medical identifiers for Carolyn Marie Jane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629563283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056.002558 (Illinois)	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. Carolyn Marie Jane allows following entities to bill medicare on her behalf.

Provider Name	Paxxon Healthcare Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750

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. Carolyn Marie Jane 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
Carolyn Marie Jane, 14500 Towne Trail, Green Oaks, IL 60048 Ph: () -	Carolyn Marie Jane, 3775 Grand Ave, Gurnee, IL 60031-2909 Ph: (847) 623-6300

Reviews and Comments

Occupational Therapist in Gurnee, IL

Cheryl Oommen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 S Greenleaf St, Suite 403, Gurnee, IL 60031 Phone: 847-596-7640 Fax: 847-596-7641
Mckenna Ann Donegon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17281 W Maple Ln, Gurnee, IL 60031 Phone: 920-214-3032
Marie Pedrola, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Tower Ct Ste A, Gurnee, IL 60031 Phone: 847-336-1520 Fax: 847-336-1098
Stacy Lynne Calcagnino, MSOTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Nations Dr, Suite 208, Gurnee, IL 60031 Phone: 847-477-9034
Marci Simmons, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3775 Grand Ave, Gurnee, IL 60031 Phone: 847-231-3141
Twisha Patel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5363 Sequoia Ct, Gurnee, IL 60031 Phone: 224-627-2859
Jessica Weiland, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 S Greenleaf St, Suite 403, Gurnee, IL 60031 Phone: 847-596-7640 Fax: 847-596-7641

Carolyn Marie Jane, - Medicare Occupational Therapist in Gurnee, IL