Jaclyn Czerniak, LPC - Medicare in Suffield, CT

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Jaclyn Czerniak, LPC is a medicare enrolled "Counselor - Professional" provider in Suffield, Connecticut. 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 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 1487078762.

Contact Information

Jaclyn Czerniak, LPC
880 Burbank Ave,
Suffield, CT 06078-1459
(860) 539-6736
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJaclyn Czerniak
GenderFemale
SpecialityCounselor - Professional
Location880 Burbank Ave, Suffield, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1487078762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
101YP2500XCounselor - Professional (* (Not Available))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. Jaclyn Czerniak allows following entities to bill medicare on her behalf.
Entity NameWheeler Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396750840
PECOS PAC ID: 0345147153
Enrollment ID: O20031218000218

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 AddressPractice 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

Reviews and Comments



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.