Dr Vanessa Jaclyn Wilczak, DC - Medicare Chiropractor in Orange Park, FL

Dr Vanessa Jaclyn Wilczak, DC is a medicare enrolled "Chiropractor" provider in Orange Park, Florida. Her current practice location is 1564 Kingsley Ave, Clay Pain Center, Orange Park, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 264-0400.

Dr Vanessa Jaclyn Wilczak is licensed to practice in Florida (license number CH9776) 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 1366775124.

Contact Information

Dr Vanessa Jaclyn Wilczak, DC
1564 Kingsley Ave, Clay Pain Center,
Orange Park, FL 32073-4511
(904) 264-0400
(904) 264-0401

Map and Direction




Healthcare Provider's Profile

Full NameDr Vanessa Jaclyn Wilczak
GenderFemale
SpecialityChiropractor
Location1564 Kingsley Ave, Orange Park, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366775124
  • Provider Enumeration Date: 09/11/2009
  • Last Update Date: 09/11/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 1658414412
  • Enrollment ID: I20100203000041

Medical Identifiers

Medical identifiers for Dr Vanessa Jaclyn Wilczak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366775124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor CH9776 (Florida)Primary
111N00000XChiropractor X011698 (New York)Secondary
111N00000XChiropractor 2009008265 (Missouri)Secondary

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. Dr Vanessa Jaclyn Wilczak allows following entities to bill medicare on her behalf.
Provider NameEast Coast Neuro, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1124424643
PECOS PAC ID: 9830417948
Enrollment ID: O20150421000529

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. Dr Vanessa Jaclyn Wilczak 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
Dr Vanessa Jaclyn Wilczak, DC
4831 Florida Club Cir Apt 2203,
Jacksonville, FL 32216-1088

Ph: (904) 264-0400
Dr Vanessa Jaclyn Wilczak, DC
1564 Kingsley Ave, Clay Pain Center,
Orange Park, FL 32073-4511

Ph: (904) 264-0400

Reviews and Comments


Chiropractor in Orange Park, FL

Dr. William Philip Willis, D.C.
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Medicare: Not Enrolled in Medicare
Practice Location: 1413 Kingsley Ave, Orange Park, FL 32073
Phone: 904-264-3966    Fax: 904-278-7171
Agape Chiropractic Llc
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Practice Location: 1871 Wells Rd, Orange Park, FL 32073
Phone: 843-213-8325    
Dr. Joseph Michael Burnham, D.C.
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Practice Location: 155 Blanding Blvd, Suite 8, Orange Park, FL 32073
Phone: 904-803-2982    Fax: 904-213-9806
Spinal Injury Centers
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Practice Location: 1724 Village Way Ste B, Orange Park, FL 32073
Phone: 904-644-7034    
Kelvin Lamont Bolar,
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Practice Location: 1218 Park Ave, Orange Park, FL 32073
Phone: 904-269-2437    Fax: 904-264-2330
Fleming Island Family Chiropractic
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Medicare: Medicare Enrolled
Practice Location: 1835 East West Parkway, Suite 3, Orange Park, FL 32003
Phone: 904-264-3770    Fax: 904-264-5885
Jacksonville Injury & Rehab
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Medicare: Not Enrolled in Medicare
Practice Location: 859 Park Ave, Suite 102, Orange Park, FL 32073
Phone: 904-278-7411    Fax: 904-278-4446

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.