Jack Ryan Speckman, OTR - Medicare Occupational Therapist in Janesville, WI

Jack Ryan Speckman, OTR is a medicare enrolled "Occupational Therapist" provider in Janesville, Wisconsin. His current practice location is 1000 Mineral Point Ave, Janesville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 756-6000.

Jack Ryan Speckman is licensed to practice in Wisconsin (license number 8493) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346003704.

Contact Information

Jack Ryan Speckman, OTR
1000 Mineral Point Ave,
Janesville, WI 53548-2940
(608) 756-6000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJack Ryan Speckman
GenderMale
SpecialityOccupational Therapist
Location1000 Mineral Point Ave, Janesville, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346003704
  • Provider Enumeration Date: 01/30/2024
  • Last Update Date: 02/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012351182
  • Enrollment ID: I20240216000541

Medical Identifiers

Medical identifiers for Jack Ryan Speckman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346003704NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 8493 (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. Jack Ryan Speckman allows following entities to bill medicare on his behalf.
Provider NameMercy Health System Corporation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164

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. Jack Ryan Speckman 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
Jack Ryan Speckman, OTR
N151 County Road T,
Brodhead, WI 53520-9554

Ph: (608) 921-8668
Jack Ryan Speckman, OTR
1000 Mineral Point Ave,
Janesville, WI 53548-2940

Ph: (608) 756-6000

Reviews and Comments


Occupational Therapist in Janesville, WI

Terri Jennifer Tomicki,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 216 N Chatham St, Janesville, WI 53548
Phone: 608-774-0734    
Karen Saunders, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6000    
Heidi Alderman, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 557 N Washington St, Janesville, WI 53548
Phone: 608-754-6000    
Jennifer Sue Canik, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3400 E Racine St, Janesville, WI 53546
Phone: 608-373-8000    
Moving On Llc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 303 W. Court St., Suite 101, Janesville, WI 53548
Phone: 085-630-1136    Fax: 608-563-0220
Kathleen M. Boertman, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6842    Fax: 608-741-6953
Bethany Lyn Weberpal,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 200 W Milwaukee St, Janesville, WI 53548
Phone: 608-273-3232    

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.