Jaclyn W Bellaby, CCC-SLP in Bridgeport, CT - Medicare Speech-Language Pathologist Provider

Jaclyn W Bellaby, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Bridgeport, Connecticut. Her current practice location is 4200 Park Ave, Jewish Home For The Elderly, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 365-6400.

Jaclyn W Bellaby is licensed to practice in Connecticut (license number 4160) 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 1952617656.

Contact Information

	Jaclyn W Bellaby, CCC-SLP
	4200 Park Ave, Jewish Home For The Elderly, Bridgeport, CT 06604-1049
	(203) 365-6400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn W Bellaby
Gender	Female
Speciality	Speech-language Pathologist
Location	4200 Park Ave, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952617656
Provider Enumeration Date: 08/19/2010
Last Update Date: 06/22/2016

Medicare PECOS Information:

PECOS PAC ID: 9032401161
Enrollment ID: I20160712000093

Medical Identifiers

Medical identifiers for Jaclyn W Bellaby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952617656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	4160 (Connecticut)	Primary
235Z00000X	Speech-language Pathologist	021031 (New York)	Secondary

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. Jaclyn W Bellaby allows following entities to bill medicare on her behalf.

Provider Name	Jewish Home For The Elderly Of Fairfield County Incorporated
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285962928 PECOS PAC ID: 6901706332 Enrollment ID: O20140610000429

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 W Bellaby 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
Jaclyn W Bellaby, CCC-SLP 4200 Park Ave, Jewish Home For The Elderly, Bridgeport, CT 06604-1049 Ph: (203) 365-6400	Jaclyn W Bellaby, CCC-SLP 4200 Park Ave, Jewish Home For The Elderly, Bridgeport, CT 06604-1049 Ph: (203) 365-6400

Reviews and Comments

Speech-Language Pathologist in Bridgeport, CT

Judith Elkies, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2326 E Main St, Montano Assistive Technology Center, Bridgeport, CT 06610 Phone: 203-333-3366 Fax: 203-333-3364
Renee Barrieau Dagostine, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 Fax: 203-336-7368
Ms. Lanese Harewood, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 226 Mill Hill Ave, Bridgeport, CT 06610 Phone: 203-336-7338
Gillian Klase, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4200 Park Ave, Bridgeport, CT 06604 Phone: 203-365-6443
Cosme Torres Bilingual Speech Services, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 49 Cannon St Ste 208, Bridgeport, CT 06604 Phone: 203-218-8786
Jacqueline Ann Santacroce, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4845
Julianne Dreyer, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 725 Park Ave, Bridgeport, CT 06604 Phone: 203-366-3653

Jaclyn W Bellaby, CCC-SLP - Medicare Speech-Language Pathologist in Bridgeport, CT