Jessica M Jacklitch, PT in Coon Rapids, MN - Medicare Physical Therapist Provider

Jessica M Jacklitch, PT is a medicare enrolled "Physical Therapist" provider in Coon Rapids, Minnesota. Her current practice location is 11850 Blackfoot St Nw Ste 405, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 236-0888.

Jessica M Jacklitch is licensed to practice in Minnesota (license number 7039) 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 1770599821.

Contact Information

	Jessica M Jacklitch, PT
	11850 Blackfoot St Nw Ste 405, Coon Rapids, MN 55433
	(763) 236-0888
	(763) 236-0885

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica M Jacklitch
Gender	Female
Speciality	Physical Therapist
Location	11850 Blackfoot St Nw Ste 405, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770599821
Provider Enumeration Date: 07/31/2006
Last Update Date: 10/29/2018

Medicare PECOS Information:

PECOS PAC ID: 5496117855
Enrollment ID: I20230816003449

Medical Identifiers

Medical identifiers for Jessica M Jacklitch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770599821	NPI	-	NPPES
64-03344	Other	MN	MEDICA
HP43276	Other	MN	HEALTHPARTNERS
245J4NO	Other	MN	BCBS - MINNESOTA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	7039 (Minnesota)	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. Jessica M Jacklitch allows following entities to bill medicare on her behalf.

Provider Name	Allina Health System
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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. Jessica M Jacklitch 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
Jessica M Jacklitch, PT 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 Ph: (763) 236-8955	Jessica M Jacklitch, PT 11850 Blackfoot St Nw Ste 405, Coon Rapids, MN 55433 Ph: (763) 236-0888

Reviews and Comments

Physical Therapist in Coon Rapids, MN

Karen J Higgins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3111 124th Ave Nw, Suite 200, Coon Rapids, MN 55433 Phone: 763-427-7300 Fax: 763-427-2802
Mrs. Rachel Elaine Satrom, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 320 Coon Rapids Blvd Nw, Suite 200, Coon Rapids, MN 55433 Phone: 763-786-6900 Fax: 763-786-6901
Jennifer Gordon Hakes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-8910 Fax: 763-236-8990
Dr. Jillian Tanych, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Mercy Hospital, 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-8574 Fax: 763-236-8990
Emily Butler Strange, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Jenna Marie Hunt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-236-1050
Nancy Marie Barthold, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3833 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433 Phone: 763-427-8320 Fax: 763-712-5429

Jessica M Jacklitch, PT - Medicare Physical Therapist in Coon Rapids, MN