Jaclyn Marie Bormann, LPT in West Union, IA - Medicare Physical Therapist Provider

Jaclyn Marie Bormann, LPT is a medicare enrolled "Physical Therapist" provider in West Union, Iowa. Her current practice location is 111 Highway 150 N, West Union, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 334-3400.

Jaclyn Marie Bormann is licensed to practice in Iowa (license number 4058) 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 1720313273.

Contact Information

	Jaclyn Marie Bormann, LPT
	111 Highway 150 N, West Union, IA 52175-1050
	(563) 334-3400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Marie Bormann
Gender	Female
Speciality	Physical Therapist
Location	111 Highway 150 N, West Union, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720313273
Provider Enumeration Date: 10/15/2009
Last Update Date: 06/01/2023

Medicare PECOS Information:

PECOS PAC ID: 2466819537
Enrollment ID: I20230605001954

Medical Identifiers

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

Identifier	Type	State	Issuer
1720313273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4058 (Iowa)	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 Marie Bormann allows following entities to bill medicare on her behalf.

Provider Name	Rock Valley Physical Therapy Center
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1245373166 PECOS PAC ID: 9638087877 Enrollment ID: O20080513000596

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 Marie Bormann 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 Marie Bormann, LPT 850 43rd Ave Ste 100, Moline, IL 61265-8401 Ph: (309) 743-2070	Jaclyn Marie Bormann, LPT 111 Highway 150 N, West Union, IA 52175-1050 Ph: (563) 334-3400

Reviews and Comments

Physical Therapist in West Union, IA

Mrs. Dawn Ann Daughton, M.T.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-9729 Fax: 563-422-9229
Patricia Carey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-3811
Erin Lee Montoya, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-3811
Renae E Lembke, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-9729 Fax: 563-422-9229
Ms. Jennifer Brekke Fuentes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-3811

Jaclyn Marie Bormann, LPT - Medicare Physical Therapist in West Union, IA