Mrs Jacklyn Coppola, PT, DPT in Canton, MI - Medicare Physical Therapist Provider

Mrs Jacklyn Coppola, PT, DPT is a medicare enrolled "Physical Therapist" provider in Canton, Michigan. Her current practice location is 1693 N Canton Center Rd, Canton, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 738-0000.

Mrs Jacklyn Coppola is licensed to practice in Michigan (license number 5501017144) 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 1942667290.

Contact Information

	Mrs Jacklyn Coppola, PT, DPT
	1693 N Canton Center Rd, Canton, MI 48187-2948
	(734) 738-0000
	(734) 738-0038

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jacklyn Coppola
Gender	Female
Speciality	Physical Therapist
Location	1693 N Canton Center Rd, Canton, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942667290
Provider Enumeration Date: 01/18/2016
Last Update Date: 02/27/2024

Medicare PECOS Information:

PECOS PAC ID: 5698113124
Enrollment ID: I20240403002278

Medical Identifiers

Medical identifiers for Mrs Jacklyn Coppola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942667290	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501017144 (Michigan)	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. Mrs Jacklyn Coppola allows following entities to bill medicare on her behalf.

Provider Name	Team Rehabilitation Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548932619 PECOS PAC ID: 2264479518 Enrollment ID: O20211027001883

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. Mrs Jacklyn Coppola 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
Mrs Jacklyn Coppola, PT, DPT 33900 Harper Ave Ste 104, Clinton Township, MI 48035-4258 Ph: (586) 350-2644	Mrs Jacklyn Coppola, PT, DPT 1693 N Canton Center Rd, Canton, MI 48187-2948 Ph: (734) 738-0000

Reviews and Comments

Physical Therapist in Canton, MI

Shelley Marie Poliner, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5969 N Canton Center Rd, Canton, MI 48187 Phone: 877-407-3422 Fax: 877-407-4329
Joel Joven, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 N Haggerty Rd, Suite 280, Canton, MI 48187 Phone: 734-844-0800
Kothainayagi Anandhan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7025 N Lilley Rd, Canton, MI 48187 Phone: 734-394-3100
Anna Pia Hapin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7025 N Lilley Rd, Canton, MI 48187 Phone: 734-394-3100
Synergy Physical Therapy And Rehab, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46743 Woodside Dr, Canton, MI 48187 Phone: 734-837-9673 Fax: 734-981-8062
Anbu Punniyakotti, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 49628 Great Falls Rd, Canton, MI 48188 Phone: 734-397-2830 Fax: 734-397-4918
Hardik Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 N Haggerty Rd Ste 280, Canton, MI 48187 Phone: 734-844-0800 Fax: 734-844-0808

Mrs Jacklyn Coppola, PT, DPT - Medicare Physical Therapist in Canton, MI