Jacquelyn Dulka, MOT, OTR/L - Medicare Occupational Therapist in Fargo, ND

Jacquelyn Dulka, MOT, OTR/L is a medicare enrolled "Occupational Therapist" provider in Fargo, North Dakota. Her current practice location is 4342 15th Ave S Ste 105, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 936-9495.

Jacquelyn Dulka is licensed to practice in Minnesota (license number 103637) 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 1801115712.

Contact Information

Jacquelyn Dulka, MOT, OTR/L
4342 15th Ave S Ste 105,
Fargo, ND 58103-1125
(701) 936-9495
(952) 222-1994

Map and Direction




Healthcare Provider's Profile

Full NameJacquelyn Dulka
GenderFemale
SpecialityOccupational Therapist
Location4342 15th Ave S Ste 105, Fargo, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801115712
  • Provider Enumeration Date: 05/18/2010
  • Last Update Date: 06/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8325581747
  • Enrollment ID: I20240613002823

Medical Identifiers

Medical identifiers for Jacquelyn Dulka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801115712NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 103637 (Minnesota)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. Jacquelyn Dulka allows following entities to bill medicare on her behalf.
Provider NameEmbrace Therapy Services
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1134780349
PECOS PAC ID: 1850621095
Enrollment ID: O20191001001927

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. Jacquelyn Dulka 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 AddressPractice Location Address
Jacquelyn Dulka, MOT, OTR/L
4342 15th Ave S Ste 105,
Fargo, ND 58103-1125

Ph: (701) 936-9495
Jacquelyn Dulka, MOT, OTR/L
4342 15th Ave S Ste 105,
Fargo, ND 58103-1125

Ph: (701) 936-9495

Reviews and Comments


Occupational Therapist in Fargo, ND

Ms. Kathleen Sayler, OTR/L
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Medicare: Not Enrolled in Medicare
Practice Location: 6681 56th Ave S, Fargo, ND 58104
Phone: 701-361-9622    
Leslie Anne Myer, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 3000 32nd Ave S, Fargo, ND 58103
Phone: 701-364-8000    Fax: 701-364-8078
Mrs. Shauna R Nelson, OTR/L, CLT
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1711 Gold Dr S Ste 120, Fargo, ND 58103
Phone: 701-451-9417    
Jeremiah Otteson, MOTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2301 25th St S, Fargo, ND 58103
Phone: 701-417-6222    
Kayla Brottlund,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 201 University Dr S, Fargo, ND 58103
Phone: 701-239-3000    
Karlene Renae Nelson, OTR
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3060 Frontier Way S, Fargo, ND 58104
Phone: 701-232-2340    
Mrs. Shannon Pfau, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1720 University Dr S, Fargo, ND 58103
Phone: 701-417-5500    Fax: 701-540-0098

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.