Ms Jacqueline A Jim, OT/L - Medicare Occupational Therapist in Baldwinsville, NY

Ms Jacqueline A Jim, OT/L is a medicare enrolled "Occupational Therapist" provider in Baldwinsville, New York. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Prn Physical, Occupational And Speech Therapy Network, Pllc and her current practice location is 3205 Green Mdw, Baldwinsville, New York. You can reach out to her office (for appointments etc.) via phone at (315) 857-4481.

Ms Jacqueline A Jim is licensed to practice in New York (license number 008281-1) 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 1417186123.

Contact Information

Ms Jacqueline A Jim, OT/L
3205 Green Mdw,
Baldwinsville, NY 13027
(315) 857-4481
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Jacqueline A Jim
GenderFemale
SpecialityOccupational Therapy
Experience27 Years
Location3205 Green Mdw, Baldwinsville, New York
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:
  • Ms Jacqueline A Jim graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1417186123
  • Provider Enumeration Date: 07/02/2009
  • Last Update Date: 08/06/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4082969514
  • Enrollment ID: I20180625000197

Medical Identifiers

Medical identifiers for Ms Jacqueline A Jim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417186123NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 008281-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prn Physical, Occupational And Speech Therapy Network, Pllc509273078872

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. Ms Jacqueline A Jim allows following entities to bill medicare on her behalf.
Provider NamePrn Physical, Occupational And Speech Therapy Network, Pllc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1336185263
PECOS PAC ID: 5092730788
Enrollment ID: O20051012000029

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. Ms Jacqueline A Jim 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
Ms Jacqueline A Jim, OT/L
3205 Green Mdw,
Baldwinsville, NY 13027-8929

Ph: (315) 857-4481
Ms Jacqueline A Jim, OT/L
3205 Green Mdw,
Baldwinsville, NY 13027

Ph: (315) 857-4481

Reviews and Comments


Occupational Therapist in Baldwinsville, NY

Kassidy Joy Kraus,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8282 Willett Pkwy, Baldwinsville, NY 13027
Phone: 315-857-0800    Fax: 315-857-0803
Kathleen M Malone, MSOTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8395 Oswego Rd, Baldwinsville, NY 13027
Phone: 316-450-4898    
Mikayla Gilchrist,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8395 Oswego Rd, Baldwinsville, NY 13027
Phone: 315-450-4898    
Samantha Beebe,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 7740 Meigs Rd, Baldwinsville, NY 13027
Phone: 315-638-2521    
Joan Sharon Ellsworth, COTA
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7740 Meigs Rd, Baldwinsville, NY 13027
Phone: 315-638-2521    
Mrs. Korey Leigh Fantacone, MS, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1005 Village Blvd S, Baldwinsville, NY 13027
Phone: 315-215-6991    

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