Jacquelyn Marie Roggenbuck, OTR - Medicare Occupational Therapist in Rockford, IL

Jacquelyn Marie Roggenbuck, OTR is a medicare enrolled "Occupational Therapist" provider in Rockford, Illinois. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Orthomidwest Pllc and her current practice location is 324 Roxbury Road, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 398-9491.

Jacquelyn Marie Roggenbuck is licensed to practice in Illinois (license number 056-011026) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063625820.

Contact Information

Jacquelyn Marie Roggenbuck, OTR
324 Roxbury Road,
Rockford, IL 61107
(815) 398-9491
(815) 381-7498

Map and Direction




Healthcare Provider's Profile

Full NameJacquelyn Marie Roggenbuck
GenderFemale
SpecialityOccupational Therapy
Experience18 Years
Location324 Roxbury Road, Rockford, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacquelyn Marie Roggenbuck graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1063625820
  • Provider Enumeration Date: 05/08/2007
  • Last Update Date: 09/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830410257
  • Enrollment ID: I20150610000759

Medical Identifiers

Medical identifiers for Jacquelyn Marie Roggenbuck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063625820NPI-NPPES
41046100MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 056-011026 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthomidwest Pllc0749183713386

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 Marie Roggenbuck allows following entities to bill medicare on her behalf.
Provider NameOrthomidwest Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1730136474
PECOS PAC ID: 0749183713
Enrollment ID: O20040128000533

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 Marie Roggenbuck 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 Marie Roggenbuck, OTR
Po Box 735263,
Chicago, IL 60673-5263

Ph: () -
Jacquelyn Marie Roggenbuck, OTR
324 Roxbury Road,
Rockford, IL 61107

Ph: (815) 398-9491

Reviews and Comments


Occupational Therapist in Rockford, IL

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Phone: 815-978-4535    
Meghan La Marca, OTR/L
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James J Jefko, OTR
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Phone: 779-696-7550    
Mr. William Alan Kopke, MED, OTR/L, CLT
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Medicare: Not Enrolled in Medicare
Practice Location: 2006 El Rancho Lane, Rockford, IL 61107
Phone: 815-977-5950    

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