Jaclyn Grevengoed, PT in Omaha, NE - Medicare Physical Therapy Provider

Jaclyn Grevengoed, PT is a medicare enrolled "Physical Therapist" provider in Omaha, Nebraska. She went to Mayo Medical School and graduated in 2013 and has 11 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Nebraska Spine Center Llp and her current practice location is 13616 California St Ste 100, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 496-0404.

Jaclyn Grevengoed is licensed to practice in Nebraska (license number 3922) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144650482.

Contact Information

	Jaclyn Grevengoed, PT
	13616 California St Ste 100, Omaha, NE 68154-5336
	(402) 496-0404
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Grevengoed
Gender	Female
Speciality	Physical Therapy
Experience	11 Years
Location	13616 California St Ste 100, Omaha, Nebraska
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaclyn Grevengoed attended and graduated from Mayo Medical School in 2013

NPI Data:

NPI Number: 1144650482
Provider Enumeration Date: 11/23/2013
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 1951523000
Enrollment ID: I20190723003126

Medical Identifiers

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

Identifier	Type	State	Issuer
1144650482	NPI	-	NPPES
47081304012	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3922 (Nebraska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nebraska Spine Center Llp	9830080613	30

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 Grevengoed allows following entities to bill medicare on her behalf.

Provider Name	Nebraska Spine Center Llp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588667950 PECOS PAC ID: 9830080613 Enrollment ID: O20040322001370

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 Grevengoed 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 Grevengoed, PT 7505 Country Club Dr, Golden Valley, MN 55427-4501 Ph: (763) 450-6902	Jaclyn Grevengoed, PT 13616 California St Ste 100, Omaha, NE 68154-5336 Ph: (402) 496-0404

Reviews and Comments

Physical Therapist in Omaha, NE

Ms. Mary Elizabeth Neary, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13609 California St, Omaha, NE 68154 Phone: 402-938-2030
Alison Helen Larsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9109 Blondo St, Omaha, NE 68134 Phone: 402-399-9993 Fax: 402-778-9739
Dr. James Baxa, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7712 N 80th Ave, Omaha, NE 68122 Phone: 402-319-7396
Joseph Osovski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5505 Grover St, Omaha, NE 68106 Phone: 402-558-0225
Mrs. Kelsi Blair Lemon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11623 Arbor St, Omaha, NE 68144 Phone: 800-334-1919
Allison Chae Jochimsen, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17500 Burke St, Omaha, NE 68118 Phone: 402-401-3900
Hailey Christine Comer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 California Plz, Omaha, NE 68178 Phone: 402-280-2700

Jaclyn Grevengoed, PT - Medicare Physical Therapist in Omaha, NE