Jaclyn Czerniak, LPC is a medicare enrolled "Counselor - Professional" provider in Suffield, Connecticut. She graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Wheeler Clinic Inc and her current practice location is
880 Burbank Ave, Suffield, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 539-6736.
Jaclyn Czerniak is licensed to practice in * (Not Available) (license number ) 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 1487078762.
Healthcare Provider's Profile
| Full Name | Jaclyn Czerniak |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 13 Years |
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| Location | 880 Burbank Ave, Suffield, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jaclyn Czerniak graduated from medical school in 2013
NPI Data:
- NPI Number: 1487078762
- Provider Enumeration Date: 02/07/2014
- Last Update Date: 03/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183074487
- Enrollment ID: I20231228003623
Medical Identifiers
Medical identifiers for Jaclyn Czerniak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487078762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Wheeler Clinic Inc | 0345147153 | 79 |
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. Jaclyn Czerniak allows following entities to bill medicare on her behalf.
| Entity Name | Wheeler Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396750840 PECOS PAC ID: 0345147153 Enrollment ID: O20031218000218 |
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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. Jaclyn Czerniak 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 |
Jaclyn Czerniak, LPC Po Box 605, Suffield, CT 06078-0605 Ph: () - | Jaclyn Czerniak, LPC 880 Burbank Ave, Suffield, CT 06078-1459 Ph: (860) 539-6736 |
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