Jaclyn Marie Anderson, OT is a
Occupational Therapist based in Suttons Bay, Michigan. Jaclyn Marie Anderson is licensed to practice in Michigan (license number 5201005612) and her current practice location is
124 W Fourth St, Suttons Bay, Michigan. She can be reached at her office (for appointments etc.) via phone at
(231) 271-1200.
NPI number for Jaclyn Marie Anderson is 1295920726 and her current mailing address is 2830 S Pine Meadow Path, Suttons Bay, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295920726.
Healthcare Provider's Profile
| Full Name | Jaclyn Marie Anderson |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
|---|
| Location | 124 W Fourth St, Suttons Bay, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295920726
- Provider Enumeration Date: 09/07/2007
- Last Update Date: 10/28/2013
Medical Identifiers
Medical identifiers for Jaclyn Marie Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295920726 | NPI | - | NPPES |
| 43-2035142 | Other | MI | TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 5201005612 (Michigan) | Primary |
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 Marie Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jaclyn Marie Anderson, OT
2830 S Pine Meadow Path,
Suttons Bay, MI 49682-9740
Ph: (231) 218-2302 | Jaclyn Marie Anderson, OT
124 W Fourth St,
Suttons Bay, MI 49682-9733
Ph: (231) 271-1200 |
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