Ms Jacqueline M Sam, DPT in Walnut, CA - Medicare Physical Therapist Provider

Ms Jacqueline M Sam, DPT is a medicare enrolled "Physical Therapist" provider in Walnut, California. Her current practice location is 1346 Marquette Dr, Walnut, California. You can reach out to her office (for appointments etc.) via phone at (909) 869-7929.

Ms Jacqueline M Sam is licensed to practice in California (license number PT28709) 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 1023136827.

Contact Information

	Ms Jacqueline M Sam, DPT
	1346 Marquette Dr, Walnut, CA 91789-1254
	(909) 869-7929
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jacqueline M Sam
Gender	Female
Speciality	Physical Therapist
Location	1346 Marquette Dr, Walnut, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023136827
Provider Enumeration Date: 03/27/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3476513680
Enrollment ID: I20041012001534

Medical Identifiers

Medical identifiers for Ms Jacqueline M Sam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023136827	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT28709 (California)	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. Ms Jacqueline M Sam allows following entities to bill medicare on her behalf.

Provider Name	William Chu
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1952420549 PECOS PAC ID: 8123128170 Enrollment ID: I20070705000436

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. Ms Jacqueline M Sam 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
Ms Jacqueline M Sam, DPT 1346 Marquette Dr, Walnut, CA 91789-1254 Ph: (909) 869-7929	Ms Jacqueline M Sam, DPT 1346 Marquette Dr, Walnut, CA 91789-1254 Ph: (909) 869-7929

Reviews and Comments

Physical Therapist in Walnut, CA

Dr. Norman Truong, PT, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 280 S Lemon Ave, Unit 203, Walnut, CA 91788 Phone: 909-391-0333
Lauren Rei Miyamoto, Physical Therapist Medicare: Medicare Enrolled Practice Location: 959 Ironshoe Ct, Walnut, CA 91789 Phone: 909-260-0243
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5nex & Company, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 N Deer Creek Dr, Walnut, CA 91789 Phone: 909-594-2202 Fax: 909-594-2202
Jenny Yin Chen Lee, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20506 Vejar Rd, Walnut, CA 91789 Phone: 626-922-6769

Ms Jacqueline M Sam, DPT - Medicare Physical Therapist in Walnut, CA