Jacqueline Sandoval, DPT in Milwaukee, WI - Medicare Physical Therapy Provider

Jacqueline Sandoval, DPT is a medicare enrolled "Physical Therapist" provider in Milwaukee, Wisconsin. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Lakeshore Medical Clinic Llc and her current practice location is 3305 S 20th St Ste 100, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 645-1984.

Jacqueline Sandoval is licensed to practice in Wisconsin (license number 11827-24) 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 1497292379.

Contact Information

	Jacqueline Sandoval, DPT
	3305 S 20th St Ste 100, Milwaukee, WI 53215-4940
	(414) 645-1984
	(414) 389-9050

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Sandoval
Gender	Female
Speciality	Physical Therapy
Experience	13 Years
Location	3305 S 20th St Ste 100, Milwaukee, Wisconsin
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:

Jacqueline Sandoval graduated from medical school in 2011

NPI Data:

NPI Number: 1497292379
Provider Enumeration Date: 01/30/2017
Last Update Date: 12/28/2021

Medicare PECOS Information:

PECOS PAC ID: 5395028880
Enrollment ID: I20170207002402

Medical Identifiers

Medical identifiers for Jacqueline Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497292379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11827-24 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeshore Medical Clinic Llc	7719890730	293

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. Jacqueline Sandoval allows following entities to bill medicare on her behalf.

Provider Name	Lakeshore Medical Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

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. Jacqueline Sandoval 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
Jacqueline Sandoval, DPT 3305 S 20th St Ste 100, Milwaukee, WI 53215-4940 Ph: (414) 645-1984	Jacqueline Sandoval, DPT 3305 S 20th St Ste 100, Milwaukee, WI 53215-4940 Ph: (414) 645-1984

Reviews and Comments

Physical Therapist in Milwaukee, WI

Brandy Helchen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 N 92nd St, Milwaukee, WI 53226 Phone: 414-479-9424
Mr. Brent Bode, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 807 N Jefferson St, Milwaukee, WI 53202 Phone: 414-224-8219 Fax: 414-224-8246
Asha Pumphrey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221 Phone: 414-389-3023 Fax: 414-817-5745
Priyanka Trivedi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4400 S 27th St, #230, Milwaukee, WI 53221 Phone: 309-252-8848
Mrs. Cheri Marcott, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2901 West Kinnickinnc River Parkway, Suite 500, Milwaukee, WI 53215 Phone: 414-649-3250 Fax: 414-649-3245
Cynthia Klingbeil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5000 W Chambers St, Milwaukee, WI 53210 Phone: 414-447-2209
Physical Therapy And Balance Center Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 W Layton Ave Stop 2a, Milwaukee, WI 53207 Phone: 414-344-8245

Jacqueline Sandoval, DPT - Medicare Physical Therapist in Milwaukee, WI