Miss Jaclyn Rachelle Loop, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Ona, West Virginia. Her current practice location is
116 Applewood Dr, Ona, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 525-7622.
Miss Jaclyn Rachelle Loop is licensed to practice in * (Not Available) (license number ) 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 1548747538.
Healthcare Provider's Profile
Full Name | Miss Jaclyn Rachelle Loop |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 116 Applewood Dr, Ona, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548747538
- Provider Enumeration Date: 07/23/2018
- Last Update Date: 11/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436562444
- Enrollment ID: I20210113000429
Medical Identifiers
Medical identifiers for Miss Jaclyn Rachelle Loop such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548747538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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. Miss Jaclyn Rachelle Loop allows following entities to bill medicare on her behalf.
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1336858398 PECOS PAC ID: 2365359932 Enrollment ID: O20230426003181 |
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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. Miss Jaclyn Rachelle Loop 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 |
Miss Jaclyn Rachelle Loop, MS, CCC-SLP 116 Applewood Dr, Ona, WV 25545-9581 Ph: () - | Miss Jaclyn Rachelle Loop, MS, CCC-SLP 116 Applewood Dr, Ona, WV 25545-9581 Ph: (304) 525-7622 |
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