Jacquelyn Rose Mallet, DPT - Medicare Physical Therapist in Spirit Lake, ID

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Jacquelyn Rose Mallet, DPT is a medicare enrolled "Physical Therapist" provider in Spirit Lake, Idaho. Her current practice location is 6186 W Maine St, Spirit Lake, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 449-1596.

Jacquelyn Rose Mallet is licensed to practice in Idaho (license number PT-9060) 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 1962243063.

Contact Information

Jacquelyn Rose Mallet, DPT
6186 W Maine St,
Spirit Lake, ID 83869-0149
(208) 449-1596
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacquelyn Rose Mallet
GenderFemale
SpecialityPhysical Therapist
Location6186 W Maine St, Spirit Lake, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962243063
  • Provider Enumeration Date: 06/03/2024
  • Last Update Date: 06/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9234672973
  • Enrollment ID: I20240621002681

Medical Identifiers

Medical identifiers for Jacquelyn Rose Mallet such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962243063NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT-9060 (Idaho)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. Jacquelyn Rose Mallet allows following entities to bill medicare on her behalf.
Provider NameShellman Inc Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1326050253
PECOS PAC ID: 4981592938
Enrollment ID: O20040310000340

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. Jacquelyn Rose Mallet 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 AddressPractice Location Address
Jacquelyn Rose Mallet, DPT
1917 N Lakewood Dr,
Coeur D Alene, ID 83814-2634

Ph: (208) 763-0485		Jacquelyn Rose Mallet, DPT
6186 W Maine St,
Spirit Lake, ID 83869-0149

Ph: (208) 449-1596

Reviews and Comments


Physical Therapist in Spirit Lake, ID

Michael Victor Nowack, D.P.T
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6186 W Maine, Spirit Lake, ID 83869
Phone: 208-623-6717    
Adam Wheeler, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 31911 N 5th St, Spirit Lake, ID 83869
Phone: 208-623-6717    
Alpine Physical Therapy Center, P.c.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 31911 N 5th Ave, Spirit Lake, ID 83869
Phone: 208-623-6717    Fax: 208-623-4898

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.