Jaci L Blaszak, OT - Medicare Occupational Therapist in Milwaukee, WI

Jaci L Blaszak, OT is a medicare enrolled "Occupational Therapist" provider in Milwaukee, Wisconsin. Her current practice location is 3090 N 53rd St, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 449-4444.

Jaci L Blaszak is licensed to practice in Wisconsin (license number 2626-26) 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 1558666818.

Contact Information

Jaci L Blaszak, OT
3090 N 53rd St,
Milwaukee, WI 53210-1617
(414) 449-4444
(414) 449-4448

Map and Direction




Healthcare Provider's Profile

Full NameJaci L Blaszak
GenderFemale
SpecialityOccupational Therapist
Location3090 N 53rd St, Milwaukee, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558666818
  • Provider Enumeration Date: 01/18/2011
  • Last Update Date: 01/18/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3678953825
  • Enrollment ID: I20220705003068

Medical Identifiers

Medical identifiers for Jaci L Blaszak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558666818NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 2626-26 (Wisconsin)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. Jaci L Blaszak allows following entities to bill medicare on her behalf.
Provider NameHoward Young Medical Center Inc Of Woodruff Wisconsin
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1184673352
PECOS PAC ID: 4183519606
Enrollment ID: O20040419000970
Provider NameAspirus Eagle River Hospital & Clinics, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1346204385
PECOS PAC ID: 1658361951
Enrollment ID: O20040518000233
Provider NameLac Du Flambeau Band Of Lake Superior Chippewa Indians
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1134235047
PECOS PAC ID: 5496707242
Enrollment ID: O20050221000179

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. Jaci L Blaszak 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
Jaci L Blaszak, OT
3090 N 53rd St,
Milwaukee, WI 53210-1617

Ph: (414) 449-4444
Jaci L Blaszak, OT
3090 N 53rd St,
Milwaukee, WI 53210-1617

Ph: (414) 449-4444

Reviews and Comments


Occupational Therapist in Milwaukee, WI

Melissa Brook, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2115 E Woodstock Pl, Milwaukee, WI 53202
Phone: 414-271-1020    
John Travis Krayenhagen, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1635 N Water St Apt 312, Milwaukee, WI 53202
Phone: 563-650-2889    
Jill M. Kellan,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 250 E Wisconsin Ave Fl 18, Milwaukee, WI 53202
Phone: 877-407-3422    Fax: 877-407-4329
Laura Hendricks,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4528 S Adams Ave, Milwaukee, WI 53207
Phone: 626-241-7070    
Nancy Joy Stillman, O.T.R.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2449 E Bradford Ave, Milwaukee, WI 53211
Phone: 414-963-8476    
Ka Yang,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4530 N 74th St, Milwaukee, WI 53218
Phone: 414-897-4169    
Mrs. Madelyn Joy Bates, MOT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5538 W Auer Ave, Milwaukee, WI 53216
Phone: 305-308-9571    

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.