Jaclyn Boettcher, is a
Speech-language Pathologist based in East Bernard, Texas. Jaclyn Boettcher is licensed to practice in Texas (license number 104567) and her current practice location is
5228 Fm 2919 Rd, East Bernard, Texas. She can be reached at her office (for appointments etc.) via phone at
(832) 477-5519.
NPI number for Jaclyn Boettcher is 1073241709 and her current mailing address is Po Box 1099, East Bernard, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073241709.
Healthcare Provider's Profile
| Full Name | Jaclyn Boettcher |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 5228 Fm 2919 Rd, East Bernard, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073241709
- Provider Enumeration Date: 08/10/2022
- Last Update Date: 08/10/2022
Medical Identifiers
Medical identifiers for Jaclyn Boettcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073241709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 104567 (Texas) | Primary |
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. Jaclyn Boettcher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jaclyn Boettcher,
Po Box 1099,
East Bernard, TX 77435-1099
Ph: (832) 477-5519 | Jaclyn Boettcher,
5228 Fm 2919 Rd,
East Bernard, TX 77435-7469
Ph: (832) 477-5519 |
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