Jaclyn Oldenburg, MS, OT in Grand Haven, MI - Medicare Occupational Therapist Provider

Jaclyn Oldenburg, MS, OT is a medicare enrolled "Occupational Therapist" provider in Grand Haven, Michigan. Her current practice location is 16760 Lincoln St, Grand Haven, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 935-3300.

Jaclyn Oldenburg is licensed to practice in Michigan (license number 5201011646) 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 1003571431.

Contact Information

	Jaclyn Oldenburg, MS, OT
	16760 Lincoln St, Grand Haven, MI 49417-8864
	(616) 935-3300
	(616) 935-3333

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Oldenburg
Gender	Female
Speciality	Occupational Therapist
Location	16760 Lincoln St, Grand Haven, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003571431
Provider Enumeration Date: 11/01/2021
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 8729448451
Enrollment ID: I20230713001050

Medical Identifiers

Medical identifiers for Jaclyn Oldenburg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003571431	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5201011646 (Michigan)	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 Oldenburg allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Michigan Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245

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 Oldenburg 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 Oldenburg, MS, OT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050	Jaclyn Oldenburg, MS, OT 16760 Lincoln St, Grand Haven, MI 49417-8864 Ph: (616) 935-3300

Reviews and Comments

Occupational Therapist in Grand Haven, MI

Kelly Lynn Ouellette, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6280
Kaylie Ann Stearns, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 533 Woodlawn Ave, Grand Haven, MI 49417 Phone: 616-402-6997
Sensational Steps Therapy, Inc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 533 Woodlawn Ave, Grand Haven, MI 49417 Phone: 616-402-6997 Fax: 616-499-4968
Mrs. Mary Klinter, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 S Beacon Blvd, Grand Haven, MI 49417 Phone: 616-296-7329
Ellen Brown, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 16925 Ability Way, Grand Haven, MI 49417 Phone: 616-935-7606
Katherine A Childs, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 415 Friant St, Grand Haven, MI 49417 Phone: 262-994-7360

Jaclyn Oldenburg, MS, OT - Medicare Occupational Therapist in Grand Haven, MI