Mrs Kelley Lynn Jacobson, OTR in Fort Collins, CO - Medicare Occupational Therapist Provider

Mrs Kelley Lynn Jacobson, OTR is a medicare enrolled "Occupational Therapist" provider in Fort Collins, Colorado. Her current practice location is 4314 Westbrooke Dr, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 847-6410.

Mrs Kelley Lynn Jacobson is licensed to practice in Colorado (license number 1346) 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 1356635841.

Contact Information

	Mrs Kelley Lynn Jacobson, OTR
	4314 Westbrooke Dr, Fort Collins, CO 80526-3454
	(303) 847-6410
	(970) 207-1766

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelley Lynn Jacobson
Gender	Female
Speciality	Occupational Therapist
Location	4314 Westbrooke Dr, Fort Collins, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356635841
Provider Enumeration Date: 06/02/2011
Last Update Date: 06/02/2011

Medicare PECOS Information:

PECOS PAC ID: 3577930957
Enrollment ID: I20221028000930

Medical Identifiers

Medical identifiers for Mrs Kelley Lynn Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356635841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	1346 (Colorado)	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. Mrs Kelley Lynn Jacobson allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1164620084 PECOS PAC ID: 2163339722 Enrollment ID: O20200204000475

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. Mrs Kelley Lynn Jacobson 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
Mrs Kelley Lynn Jacobson, OTR 4314 Westbrooke Dr, Fort Collins, CO 80526-3454 Ph: (303) 847-6410	Mrs Kelley Lynn Jacobson, OTR 4314 Westbrooke Dr, Fort Collins, CO 80526-3454 Ph: (303) 847-6410

Reviews and Comments

Occupational Therapist in Fort Collins, CO

Wendy Sultzman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1815 Rosemary Ct, Fort Collins, CO 80528 Phone: 970-219-2439
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Amanda Jensen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3307 S College Ave, Ste. 108, Fort Collins, CO 80525 Phone: 970-407-9999
Ms. Patricia Ann Atherly, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4101 Seneca St, Fort Collins, CO 80526 Phone: 970-490-3066
Kristen Nicole Jensen, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5055 S Lemay Ave, Fort Collins, CO 80525 Phone: 970-223-0880
Mrs. Nichole Marie Kain, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2350 Limon Dr, Covell Care, Fort Collins, CO 80525 Phone: 720-295-1607

Mrs Kelley Lynn Jacobson, OTR - Medicare Occupational Therapist in Fort Collins, CO