Jacklyn L Locke, OTR/L is a medicare enrolled "Occupational Therapist" provider in Cornish, Maine. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Foothills Physical Therapy P.a. and her current practice location is
16 Old Pike Rd, Cornish, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 625-4300.
Jacklyn L Locke is licensed to practice in Maine (license number OT3892) 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 1609474584.
Healthcare Provider's Profile
Full Name | Jacklyn L Locke |
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Gender | Female |
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Speciality | Occupational Therapy |
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Experience | 4 Years |
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Location | 16 Old Pike Rd, Cornish, Maine |
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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:
- Jacklyn L Locke graduated from medical school in 2020
NPI Data:
- NPI Number: 1609474584
- Provider Enumeration Date: 10/13/2020
- Last Update Date: 12/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294126074
- Enrollment ID: I20220105002111
Medical Identifiers
Medical identifiers for Jacklyn L Locke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609474584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT3892 (Maine) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Foothills Physical Therapy P.a. | 4486686045 | 6 |
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. Jacklyn L Locke allows following entities to bill medicare on her behalf.
Provider Name | Massabesic Health Resources Pa |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1316983257 PECOS PAC ID: 5395712137 Enrollment ID: O20040913000373 |
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Provider Name | Foothills Physical Therapy P.a. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1902906399 PECOS PAC ID: 4486686045 Enrollment ID: O20050902000432 |
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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. Jacklyn L Locke 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 |
Jacklyn L Locke, OTR/L Po Box 48, Cornish, ME 04020-0048 Ph: (207) 256-7303 | Jacklyn L Locke, OTR/L 16 Old Pike Rd, Cornish, ME 04020-3506 Ph: (207) 625-4300 |
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