Mrs Jacquelyn Ann Kubiak, PT in Milwaukee, WI - Medicare Physical Therapist Provider

Mrs Jacquelyn Ann Kubiak, PT is a medicare enrolled "Physical Therapist" provider in Milwaukee, Wisconsin. Her current practice location is 4111 W Mitchell St, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 643-3860.

Mrs Jacquelyn Ann Kubiak is licensed to practice in Wisconsin (license number 4777) 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 1083157473.

Contact Information

	Mrs Jacquelyn Ann Kubiak, PT
	4111 W Mitchell St, Milwaukee, WI 53215-1748
	(414) 643-3860
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jacquelyn Ann Kubiak
Gender	Female
Speciality	Physical Therapist
Location	4111 W Mitchell St, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083157473
Provider Enumeration Date: 12/02/2016
Last Update Date: 11/18/2022

Medicare PECOS Information:

PECOS PAC ID: 5092182188
Enrollment ID: I20221102001311

Medical Identifiers

Medical identifiers for Mrs Jacquelyn Ann Kubiak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083157473	NPI	-	NPPES
100070642	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4777 (Wisconsin)	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 Jacquelyn Ann Kubiak allows following entities to bill medicare on her behalf.

Provider Name	Aurora Medical Group, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Provider Name	Lakeshore Medical Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

Provider Name	Aurora Advanced Healthcare Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

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 Jacquelyn Ann Kubiak 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 Jacquelyn Ann Kubiak, PT 4111 W Mitchell St, Milwaukee, WI 53215-1748 Ph: (414) 643-3860	Mrs Jacquelyn Ann Kubiak, PT 4111 W Mitchell St, Milwaukee, WI 53215-1748 Ph: (414) 643-3860

Reviews and Comments

Physical Therapist in Milwaukee, WI

Brandy Helchen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 N 92nd St, Milwaukee, WI 53226 Phone: 414-479-9424
Mr. Brent Bode, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 807 N Jefferson St, Milwaukee, WI 53202 Phone: 414-224-8219 Fax: 414-224-8246
Asha Pumphrey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2500 W Layton Ave, Suite 160, Milwaukee, WI 53221 Phone: 414-389-3023 Fax: 414-817-5745
Priyanka Trivedi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4400 S 27th St, #230, Milwaukee, WI 53221 Phone: 309-252-8848
Mrs. Cheri Marcott, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2901 West Kinnickinnc River Parkway, Suite 500, Milwaukee, WI 53215 Phone: 414-649-3250 Fax: 414-649-3245
Cynthia Klingbeil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5000 W Chambers St, Milwaukee, WI 53210 Phone: 414-447-2209
Physical Therapy And Balance Center Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 W Layton Ave Stop 2a, Milwaukee, WI 53207 Phone: 414-344-8245

Mrs Jacquelyn Ann Kubiak, PT - Medicare Physical Therapist in Milwaukee, WI