Lisa Jacques, - Medicare Occupational Therapist in Wildwood, MO

Lisa Jacques, is a medicare enrolled "Occupational Therapist" provider in Wildwood, Missouri. Her current practice location is 16972 Manchester Rd, Wildwood, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 477-5187.

Lisa Jacques is licensed to practice in Missouri (license number 2012035100) 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 1457692915.

Contact Information

Lisa Jacques,
16972 Manchester Rd,
Wildwood, MO 63040-1200
(636) 477-5187
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLisa Jacques
GenderFemale
SpecialityOccupational Therapist
Location16972 Manchester Rd, Wildwood, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457692915
  • Provider Enumeration Date: 03/08/2013
  • Last Update Date: 10/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2264808021
  • Enrollment ID: I20221019000782

Medical Identifiers

Medical identifiers for Lisa Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457692915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 2012035100 (Missouri)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. Lisa Jacques allows following entities to bill medicare on her behalf.
Provider NameJacques Optometry Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1386217586
PECOS PAC ID: 9436552445
Enrollment ID: O20210728003651

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. Lisa Jacques 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 AddressPractice Location Address
Lisa Jacques,
16972 Manchester Rd,
Wildwood, MO 63040-1200

Ph: () -
Lisa Jacques,
16972 Manchester Rd,
Wildwood, MO 63040-1200

Ph: (636) 477-5187

Reviews and Comments


Occupational Therapist in Wildwood, MO

Mrs. Julie Lynn Clark,
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Phone: 636-458-2584    Fax: 636-458-2584
Mrs. Carol J Kern, OTR/L
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Practice Location: 531 Roaring Fork Dr, Wildwood, MO 63040
Phone: 314-705-5710    
Meghan Cunningham,
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Practice Location: 251 Plaza Dr, Wildwood, MO 63040
Phone: 314-403-1698    
Susan Lynn Inserra, OTR/L
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Medicare: Not Enrolled in Medicare
Practice Location: 1423 Westhampton View Ln, Wildwood, MO 63005
Phone: 636-821-1043    
Mr. Steven Ice, MOT, OT/L, CDRS
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 16639 Westglen Farms Dr, Wildwood, MO 63011
Phone: 314-920-0583    Fax: 636-821-1805

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.