Jaclyn Baltera, is a medicare enrolled "Occupational Therapist" provider in Youngsville, North Carolina. Her current practice location is
100 Sunset Dr, Youngsville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 562-5550.
Jaclyn Baltera is licensed to practice in North Carolina (license number 14304) 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 1326441007.
Healthcare Provider's Profile
Full Name | Jaclyn Baltera |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 100 Sunset Dr, Youngsville, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326441007
- Provider Enumeration Date: 10/08/2014
- Last Update Date: 05/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608286091
- Enrollment ID: I20240521000765
Medical Identifiers
Medical identifiers for Jaclyn Baltera such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326441007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 14304 (North Carolina) | 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 Baltera allows following entities to bill medicare on her behalf.
Provider Name | Comprehensive Therapeutics Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1619575651 PECOS PAC ID: 8921230137 Enrollment ID: O20201130001750 |
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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 Baltera 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 Baltera, 441 Slomo Ct, Wake Forest, NC 27587-3534 Ph: () - | Jaclyn Baltera, 100 Sunset Dr, Youngsville, NC 27596-9403 Ph: (919) 562-5550 |
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