Jacqueline Jessica Soares, in Staten Island, NY - Medicare Speech-Language Pathologist Provider

Jacqueline Jessica Soares, is a medicare enrolled "Speech-language Pathologist" provider in Staten Island, New York. Her current practice location is 51 Cypress Loop, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (646) 842-0270.

Jacqueline Jessica Soares is licensed to practice in New York (license number 024224) 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 1508306390.

Contact Information

	Jacqueline Jessica Soares,
	51 Cypress Loop, Staten Island, NY 10309-1676
	(646) 842-0270
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Jessica Soares
Gender	Female
Speciality	Speech-language Pathologist
Location	51 Cypress Loop, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508306390
Provider Enumeration Date: 02/28/2017
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 2769768134
Enrollment ID: I20170419001743

Medical Identifiers

Medical identifiers for Jacqueline Jessica Soares such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508306390	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	41YS00788300 (New Jersey)	Secondary
235Z00000X	Speech-language Pathologist	024224 (New York)	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. Jacqueline Jessica Soares allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Physical Therapy Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1174560650 PECOS PAC ID: 1355395179 Enrollment ID: O20061023000060

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. Jacqueline Jessica Soares 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
Jacqueline Jessica Soares, 51 Cypress Loop, Staten Island, NY 10309-1676 Ph: (646) 842-0270	Jacqueline Jessica Soares, 51 Cypress Loop, Staten Island, NY 10309-1676 Ph: (646) 842-0270

Reviews and Comments

Speech-Language Pathologist in Staten Island, NY

Mrs. Sharona Goldkrantz Rosenrauch, MS SLP CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 664 Stewart Ave, Staten Island, NY 10314 Phone: 718-982-5971
Mrs. Rachel Ahmed, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 176 Bathgate Street, Staten Island, NY 10312 Phone: 917-861-6706
Ms. Christine Ann Sprufero, CCC - SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-6521
Ms. Nicole Lee Ambrose, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 South Avenue, Staten Island, NY 10314 Phone: 718-477-0961 Fax: 718-761-1643
Ms. Kristina Sansone, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1060 Willowbrook Road, Ps 54 Charles W. Leng, Staten Island, NY 10314 Phone: 718-698-0600 Fax: 718-698-1736
Miss Violetta Sukiasyan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 339 Montreal Ave, Staten Island, NY 10306 Phone: 917-378-4842
Mrs. Alexis R Barbara, M.S., TSSLD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 493 Genesee Ave, Staten Island, NY 10312 Phone: 718-317-1414

Jacqueline Jessica Soares, - Medicare Speech-Language Pathologist in Staten Island, NY