Jill Thaker, is a medicare enrolled "Physical Therapist" provider in Malaga, New Jersey. Her current practice location is
344 Delsea Dr Ste 4, Malaga, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 694-0881.
Jill Thaker is licensed to practice in New Jersey (license number 40QA02126900) 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 1699497206.
Healthcare Provider's Profile
Full Name | Jill Thaker |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 344 Delsea Dr Ste 4, Malaga, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699497206
- Provider Enumeration Date: 09/12/2022
- Last Update Date: 09/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 0345616678
- Enrollment ID: I20221012000186
Medical Identifiers
Medical identifiers for Jill Thaker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699497206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 40QA02126900 (New Jersey) | 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. Jill Thaker allows following entities to bill medicare on her behalf.
Provider Name | Ivyrehab Network Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
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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. Jill Thaker 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 |
Jill Thaker, 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Jill Thaker, 344 Delsea Dr Ste 4, Malaga, NJ 08328-4400 Ph: (856) 694-0881 |
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