Mrs Jaclyn Ann Polk, DPT - Medicare Physical Therapist in Concord, NC

Mrs Jaclyn Ann Polk, DPT is a medicare enrolled "Physical Therapist" provider in Concord, North Carolina. Her current practice location is 5011 Weddington Rd Ste 50, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 248-1211.

Mrs Jaclyn Ann Polk is licensed to practice in North Carolina (license number P18923) 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 1679848667.

Contact Information

Mrs Jaclyn Ann Polk, DPT
5011 Weddington Rd Ste 50,
Concord, NC 28027-9037
(980) 248-1211
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Jaclyn Ann Polk
GenderFemale
SpecialityPhysical Therapist
Location5011 Weddington Rd Ste 50, Concord, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679848667
  • Provider Enumeration Date: 03/09/2012
  • Last Update Date: 08/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3072774439
  • Enrollment ID: I20120411000294

Medical Identifiers

Medical identifiers for Mrs Jaclyn Ann Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679848667NPI-NPPES
1679848667OtherNCPHYSICAL THERAPY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2305207809 (Virginia)Secondary
225100000XPhysical Therapist PT871313 (District Of Columbia)Secondary
225100000XPhysical Therapist P18923 (North Carolina)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 Jaclyn Ann Polk allows following entities to bill medicare on her behalf.
Provider NameProfessional Sportscare & Rehab Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1033142294
PECOS PAC ID: 9335137363
Enrollment ID: O20160418000007

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 Jaclyn Ann Polk 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
Mrs Jaclyn Ann Polk, DPT
5011 Weddington Rd Ste 50,
Concord, NC 28027-9037

Ph: (980) 248-1211
Mrs Jaclyn Ann Polk, DPT
5011 Weddington Rd Ste 50,
Concord, NC 28027-9037

Ph: (980) 248-1211

Reviews and Comments


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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.