Mrs Jaclyn Melissa Leitner, PA-C - Medicare Physician Assistant in Fair Lawn, NJ

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Mrs Jaclyn Melissa Leitner, PA-C is a medicare enrolled "Physician Assistant" in Fair Lawn, New Jersey. Her current practice location is 31-00 Broadway, Fair Lawn, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 796-2255.

Mrs Jaclyn Melissa Leitner is licensed to practice in Florida (license number PA9116687) 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 1780861724.

Contact Information

Mrs Jaclyn Melissa Leitner, PA-C
31-00 Broadway,
Fair Lawn, NJ 07410-3963
(201) 796-2255
(201) 796-7020

Map and Direction




Provider's Profile

Full NameMrs Jaclyn Melissa Leitner
GenderFemale
SpecialityPhysician Assistant
Location31-00 Broadway, Fair Lawn, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780861724
  • Provider Enumeration Date: 01/22/2008
  • Last Update Date: 05/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9537390075
  • Enrollment ID: I20140325001993

Medical Identifiers

Medical identifiers for Mrs Jaclyn Melissa Leitner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780861724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 25MP00188300 (New Jersey)Secondary
363A00000XPhysician Assistant PA9116687 (Florida)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. Mrs Jaclyn Melissa Leitner allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011
Entity NameExcel Urgent Care of Paramus LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063652220
PECOS PAC ID: 3971656018
Enrollment ID: O20090806000449
Entity NameDoctors Office of West Caldwell LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144524786
PECOS PAC ID: 7416130448
Enrollment ID: O20110329000053
Entity NameDoctors Office of Brick
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184067944
PECOS PAC ID: 1254575061
Enrollment ID: O20130918000138
Entity NameSignify Health Medical Associates of New Jersey LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174187728
PECOS PAC ID: 4284966896
Enrollment ID: O20191031002559

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. Mrs Jaclyn Melissa Leitner 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
Mrs Jaclyn Melissa Leitner, PA-C
300 Adams St, Apt 510,
Hoboken, NJ 07030-2631

Ph: (201) 491-3449		Mrs Jaclyn Melissa Leitner, PA-C
31-00 Broadway,
Fair Lawn, NJ 07410-3963

Ph: (201) 796-2255

Reviews and Comments


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Michelle Tuzzolino,
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Practice Location: 31-00 Broadway, 2nd Floor, Fair Lawn, NJ 07410
Phone: 201-796-2255    Fax: 201-796-3711

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.