Jackeline Quiroz, in Tenafly, NJ - Medicare Occupational Therapist Provider

Jackeline Quiroz, is a medicare enrolled "Occupational Therapist" provider in Tenafly, New Jersey. Her current practice location is 111 Dean Dr # 1n, Tenafly, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 503-7173.

Jackeline Quiroz is licensed to practice in New Jersey (license number 46TR01083700) 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 1780308296.

Contact Information

	Jackeline Quiroz,
	111 Dean Dr # 1n, Tenafly, NJ 07670-2764
	(201) 503-7173
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jackeline Quiroz
Gender	Female
Speciality	Occupational Therapist
Location	111 Dean Dr # 1n, Tenafly, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780308296
Provider Enumeration Date: 09/28/2022
Last Update Date: 09/28/2022

Medicare PECOS Information:

PECOS PAC ID: 1850769183
Enrollment ID: I20221117002179

Medical Identifiers

Medical identifiers for Jackeline Quiroz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780308296	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	46TR01083700 (New Jersey)	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. Jackeline Quiroz allows following entities to bill medicare on her behalf.

Provider Name	Cornerstone Chiropractic & Rehabilitation Center, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508065236 PECOS PAC ID: 7416023171 Enrollment ID: O20080903000290

Provider Name	Balanced Body Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1740690627 PECOS PAC ID: 0749401016 Enrollment ID: O20141030000749

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. Jackeline Quiroz 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
Jackeline Quiroz, 19 Leonard Ter, Wayne, NJ 07470-3337 Ph: (973) 870-2119	Jackeline Quiroz, 111 Dean Dr # 1n, Tenafly, NJ 07670-2764 Ph: (201) 503-7173

Reviews and Comments

Occupational Therapist in Tenafly, NJ

Carly Weiner, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 County Rd Ste 101, Tenafly, NJ 07670 Phone: 201-894-5800
Dr. Catherine Marie Cavaliere, PHD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Valley Pl, Tenafly, NJ 07670 Phone: 551-587-1249
Mrs. Michelle Hilary Roth, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 County Road, Suite 101, Tenafly, NJ 07670 Phone: 201-894-5800 Fax: 201-894-5990
Jabari Kamau Hoyte, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 Dean Dr # 1n, Tenafly, NJ 07670 Phone: 201-503-7173
Ms. Phyllis Lynn Gordon, M.S.O.T.R. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 10 Byrne Ln, Tenafly, NJ 07670 Phone: 201-569-6288 Fax: 201-227-9267
Marcia Baum, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 111 Dean Dr Ste 1n, Tenafly, NJ 07670 Phone: 201-503-7173
Andrea Porchiazzo, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 County Rd Ste 101, Tenafly, NJ 07670 Phone: 201-894-5800

Jackeline Quiroz, - Medicare Occupational Therapist in Tenafly, NJ