Jaclyn Danielle Buckingham, MOT, OTR/L in Ontario, CA - Medicare Occupational Therapy Provider

Jaclyn Danielle Buckingham, MOT, OTR/L is a medicare enrolled "Occupational Therapist" provider in Ontario, California. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 4688 Ontario Mills Pkwy, Ontario, California. You can reach out to her office (for appointments etc.) via phone at (909) 476-5747.

Jaclyn Danielle Buckingham is licensed to practice in California (license number 20120) 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 1477105062.

Contact Information

	Jaclyn Danielle Buckingham, MOT, OTR/L
	4688 Ontario Mills Pkwy, Ontario, CA 91764-5104
	(909) 476-5747
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Danielle Buckingham
Gender	Female
Speciality	Occupational Therapy
Experience	5 Years
Location	4688 Ontario Mills Pkwy, Ontario, California
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:

Jaclyn Danielle Buckingham graduated from medical school in 2019

NPI Data:

NPI Number: 1477105062
Provider Enumeration Date: 07/12/2019
Last Update Date: 05/05/2022

Medicare PECOS Information:

PECOS PAC ID: 9739567132
Enrollment ID: I20220525001716

Medical Identifiers

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

Identifier	Type	State	Issuer
1477105062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	20120 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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 Danielle Buckingham allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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 Danielle Buckingham 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 Danielle Buckingham, MOT, OTR/L 4688 Ontario Mills Pkwy, Ontario, CA 91764-5104 Ph: () -	Jaclyn Danielle Buckingham, MOT, OTR/L 4688 Ontario Mills Pkwy, Ontario, CA 91764-5104 Ph: (909) 476-5747

Reviews and Comments

Occupational Therapist in Ontario, CA

John Dietel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1661 S Euclid Ave, Ontario, CA 91762 Phone: 909-984-6713
Marleen Juarez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 S Milliken Ave, Ontario, CA 91761 Phone: 909-988-2418
Alyzah Jewels Dalnay, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 W Saint Andrews St, Ontario, CA 91762 Phone: 626-416-9665
Mackenzie Foresta, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4688 Ontario Mills Pkwy, Ontario, CA 91764 Phone: 657-242-2212
Daniel Jinkane Dang, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4688 Ontario Mills Pkwy, Ontario, CA 91764 Phone: 909-476-5747
Ms. Charmaine Lim, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1950 S Mountain Ave, Ontario, CA 91762 Phone: 909-983-0084

Jaclyn Danielle Buckingham, MOT, OTR/L - Medicare Occupational Therapist in Ontario, CA