Jacob Golembeski, MS in Clarksville, IN - Medicare Occupational Therapist Provider

Jacob Golembeski, MS is a medicare enrolled "Occupational Therapist" provider in Clarksville, Indiana. His current practice location is 303 Emerson Ave, Clarksville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 207-8903.

Jacob Golembeski is licensed to practice in Texas (license number 118920) 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 1528699667.

Contact Information

	Jacob Golembeski, MS
	303 Emerson Ave, Clarksville, IN 47129-1419
	(812) 207-8903
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Golembeski
Gender	Male
Speciality	Occupational Therapist
Location	303 Emerson Ave, Clarksville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528699667
Provider Enumeration Date: 01/28/2020
Last Update Date: 01/28/2020

Medicare PECOS Information:

PECOS PAC ID: 1456769405
Enrollment ID: I20210413000819

Medical Identifiers

Medical identifiers for Jacob Golembeski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528699667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	118920 (Texas)	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. Jacob Golembeski allows following entities to bill medicare on his behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306454558 PECOS PAC ID: 2163339722 Enrollment ID: O20200925002518

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. Jacob Golembeski 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
Jacob Golembeski, MS 303 Emerson Ave, Clarksville, IN 47129-1419 Ph: () -	Jacob Golembeski, MS 303 Emerson Ave, Clarksville, IN 47129-1419 Ph: (812) 207-8903

Reviews and Comments

Occupational Therapist in Clarksville, IN

Rebecca Mattingly, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Applegate Ln, Clarksville, IN 47129 Phone: 812-407-4440
Demi Marie Betz, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Applegate Ln, Clarksville, IN 47129 Phone: 812-542-2271 Fax: 812-941-5239
Amber Applegate, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Applegate Ln, Clarksville, IN 47129 Phone: 502-633-1007 Fax: 502-437-0624
Melanie Mcalister, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Applegate Ln, Clarksville, IN 47129 Phone: 502-633-1007
Sarah Heckman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Potters Ln, Clarksville, IN 47129 Phone: 812-948-0808
Courtney Bates, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Applegate Ln, Clarksville, IN 47129 Phone: 812-542-2771
Edema Solutions Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 101 E Rosewood Dr, Clarksville, IN 47129 Phone: 812-207-3792

Jacob Golembeski, MS - Medicare Occupational Therapist in Clarksville, IN