Jaclyn Mccullough, PT, DPT in Montgomery, NY - Medicare Physical Therapist Provider

Jaclyn Mccullough, PT, DPT is a medicare enrolled "Physical Therapist" provider in Montgomery, New York. Her current practice location is 1128 Ny-17k, Suite 3, Montgomery, New York. You can reach out to her office (for appointments etc.) via phone at (845) 769-7777.

Jaclyn Mccullough is licensed to practice in North Carolina (license number P20288) 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 1346822426.

Contact Information

	Jaclyn Mccullough, PT, DPT
	1128 Ny-17k, Suite 3, Montgomery, NY 12549-1254
	(845) 769-7777
	(845) 769-0007

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Mccullough
Gender	Female
Speciality	Physical Therapist
Location	1128 Ny-17k, Montgomery, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346822426
Provider Enumeration Date: 04/27/2021
Last Update Date: 03/08/2023

Medicare PECOS Information:

PECOS PAC ID: 3971973678
Enrollment ID: I20221221000191

Medical Identifiers

Medical identifiers for Jaclyn Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346822426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P20288 (North Carolina)	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 Mccullough allows following entities to bill medicare on her behalf.

Provider Name	Resolve Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1649886201 PECOS PAC ID: 3678985595 Enrollment ID: O20201218000305

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 Mccullough 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
Jaclyn Mccullough, PT, DPT 1128 State Route 17k Ste 3, Montgomery, NY 12549-2270 Ph: (845) 769-7777	Jaclyn Mccullough, PT, DPT 1128 Ny-17k, Suite 3, Montgomery, NY 12549-1254 Ph: (845) 769-7777

Reviews and Comments

Physical Therapist in Montgomery, NY

Janet M Albanese, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 20 Walnut Street, Suite B, Montgomery, NY 12549 Phone: 845-457-5555 Fax: 845-457-5556
Kayla Ann Corkum, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 20 Walnut St Ste B, Montgomery, NY 12549 Phone: 845-457-5555
Mrs. Lauren Teresa Nicholson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Walnut St, Suite B, Montgomery, NY 12549 Phone: 845-457-5555 Fax: 845-457-5556
Rhonda B Suzzan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Walnut St, Suite B, Montgomery, NY 12549 Phone: 845-457-5555 Fax: 845-457-5556
Nicole Borriello, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Walnut St, Suite B, Montgomery, NY 12549 Phone: 845-457-5555 Fax: 845-457-5556
Erica Bartle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Liberty Ct, Montgomery, NY 12549 Phone: 845-742-0546

Jaclyn Mccullough, PT, DPT - Medicare Physical Therapist in Montgomery, NY