Kristina A Jaeckel, PT in Worcester, MA - Medicare Physical Therapist Provider

Kristina A Jaeckel, PT is a medicare enrolled "Physical Therapist" provider in Worcester, Massachusetts. Her current practice location is 120 Gold Star Blvd, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 453-4590.

Kristina A Jaeckel is licensed to practice in Massachusetts (license number 13405) 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 1821228842.

Contact Information

	Kristina A Jaeckel, PT
	120 Gold Star Blvd, Worcester, MA 01606-2825
	(508) 453-4590
	(508) 459-5900

Map and Direction

Healthcare Provider's Profile

Full Name	Kristina A Jaeckel
Gender	Female
Speciality	Physical Therapist
Location	120 Gold Star Blvd, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821228842
Provider Enumeration Date: 07/24/2009
Last Update Date: 08/12/2015

Medicare PECOS Information:

PECOS PAC ID: 3971756206
Enrollment ID: I20130116000385

Medical Identifiers

Medical identifiers for Kristina A Jaeckel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821228842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13405 (Massachusetts)	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. Kristina A Jaeckel allows following entities to bill medicare on her behalf.

Provider Name	Greendale Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053316182 PECOS PAC ID: 9133013691 Enrollment ID: O20080128000388

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. Kristina A Jaeckel 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
Kristina A Jaeckel, PT 280 Boston Tpke, Shrewsbury, MA 01545-2640 Ph: (508) 853-4590	Kristina A Jaeckel, PT 120 Gold Star Blvd, Worcester, MA 01606-2825 Ph: (508) 453-4590

Reviews and Comments

Physical Therapist in Worcester, MA

Kristin E Dymek, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 Gold Star Blvd, Worcester, MA 01606 Phone: 508-856-9510 Fax: 508-853-1907
Ms. Michelle Hoffmann, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Physical Therapy, Worcester, MA 01655 Phone: 508-334-8700
Ms. Jan Oliver, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Physical Therapy, Worcester, MA 01655 Phone: 508-334-8700
Eugene R Lambert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 67 Millbrook St, Suite 211, Worcester, MA 01606 Phone: 508-792-9955 Fax: 508-792-9943
Ms. Katharine Raasch, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Physical Therapy, Worcester, MA 01655 Phone: 508-334-8700
Julie Ellsworth, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 484 Main St, Worcester, MA 01608 Phone: 800-244-2756 Fax: 508-831-9768
Jeffrey Ragosta Jr., PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Stafford St, Worcester, MA 01603 Phone: 508-859-7207

Kristina A Jaeckel, PT - Medicare Physical Therapist in Worcester, MA