Jaclyn Jule Bissani, DPT is a
Physical Therapist based in San Andreas, California. Jaclyn Jule Bissani is licensed to practice in California (license number PT293921) and her current practice location is
900 Mountain Ranch Rd, San Andreas, California. She can be reached at her office (for appointments etc.) via phone at
(209) 754-3823.
NPI number for Jaclyn Jule Bissani is 1902300973 and her current mailing address is 141 Via Medici, Aptos, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902300973.
Healthcare Provider's Profile
Full Name | Jaclyn Jule Bissani |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 900 Mountain Ranch Rd, San Andreas, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902300973
- Provider Enumeration Date: 03/22/2018
- Last Update Date: 10/23/2019
Medical Identifiers
Medical identifiers for Jaclyn Jule Bissani such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902300973 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT293921 (California) | 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 Jule Bissani 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 Jule Bissani, DPT 141 Via Medici, Aptos, CA 95003-5838 Ph: (408) 506-8595 | Jaclyn Jule Bissani, DPT 900 Mountain Ranch Rd, San Andreas, CA 95249-9713 Ph: (209) 754-3823 |
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