Ms Jacqueline A Jim, OT/L | |
3205 Green Mdw, Baldwinsville, NY 13027 | |
(315) 857-4481 | |
Not Available |
Full Name | Ms Jacqueline A Jim |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 27 Years |
Location | 3205 Green Mdw, Baldwinsville, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417186123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 008281-1 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prn Physical, Occupational And Speech Therapy Network, Pllc | 5092730788 | 80 |
Provider Name | Prn Physical, Occupational And Speech Therapy Network, Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336185263 PECOS PAC ID: 5092730788 Enrollment ID: O20051012000029 |
Mailing Address | Practice Location Address |
---|---|
Ms Jacqueline A Jim, OT/L 3205 Green Mdw, Baldwinsville, NY 13027-8929 Ph: (315) 857-4481 | Ms Jacqueline A Jim, OT/L 3205 Green Mdw, Baldwinsville, NY 13027 Ph: (315) 857-4481 |
Kassidy Joy Kraus, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8282 Willett Pkwy, Baldwinsville, NY 13027 Phone: 315-857-0800 Fax: 315-857-0803 | |
Kathleen M Malone, MSOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8395 Oswego Rd, Baldwinsville, NY 13027 Phone: 316-450-4898 | |
Mrs. Jeanette Courtney Tyler, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2236 Connell Ter, Baldwinsville, NY 13027 Phone: 585-802-2091 | |
Mikayla Gilchrist, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8395 Oswego Rd, Baldwinsville, NY 13027 Phone: 315-450-4898 | |
Samantha Beebe, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7740 Meigs Rd, Baldwinsville, NY 13027 Phone: 315-638-2521 | |
Joan Sharon Ellsworth, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7740 Meigs Rd, Baldwinsville, NY 13027 Phone: 315-638-2521 | |
Kaitlyn Elizabeth Smith, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Deerwood Dr, Baldwinsville, NY 13027 Phone: 315-638-6124 |