Jacqueline Kay Nizamoff, OTR CHT in Fleming Island, FL - Medicare Occupational Therapy Provider

Jacqueline Kay Nizamoff, OTR CHT is a medicare enrolled "Occupational Therapist - Hand" provider in Fleming Island, Florida. She graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice North Florida Surgeons Pa and her current practice location is 1715 Eagle Harbor Pkwy Ste A, Fleming Island, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 215-6122.

Jacqueline Kay Nizamoff is licensed to practice in Florida (license number 2660) 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 1003942111.

Contact Information

	Jacqueline Kay Nizamoff, OTR CHT
	1715 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003-4324
	(904) 215-6122
	(904) 375-8627

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Kay Nizamoff
Gender	Female
Speciality	Occupational Therapy
Experience	35 Years
Location	1715 Eagle Harbor Pkwy Ste A, Fleming Island, Florida
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:

Jacqueline Kay Nizamoff graduated from medical school in 1989

NPI Data:

NPI Number: 1003942111
Provider Enumeration Date: 02/25/2007
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2062543085
Enrollment ID: I20100708000102

Medical Identifiers

Medical identifiers for Jacqueline Kay Nizamoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003942111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	2660 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Florida Surgeons Pa	2769381391	223

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. Jacqueline Kay Nizamoff allows following entities to bill medicare on her behalf.

Provider Name	North Florida Surgeons Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912953290 PECOS PAC ID: 2769381391 Enrollment ID: O20040102000629

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. Jacqueline Kay Nizamoff 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
Jacqueline Kay Nizamoff, OTR CHT 11945 San Jose Blvd Ste 300, Jacksonville, FL 32223-1627 Ph: (904) 396-1725	Jacqueline Kay Nizamoff, OTR CHT 1715 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003-4324 Ph: (904) 215-6122

Reviews and Comments

Occupational Therapist in Fleming Island, FL

Meredith Ann Velazquez, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2245 Plantation Center Dr Ste 57, Fleming Island, FL 32003 Phone: 904-374-1414
Mary Comberiate, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1771 Baptist Clay Dr, Fleming Island, FL 32003 Phone: 904-516-1800
Emily Shaw, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 Los Palmas Dr, Fleming Island, FL 32003 Phone: 904-343-8522
Cheryl Anne Simpson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4761 Pine Ave, Fleming Island, FL 32003 Phone: 904-365-9910
Kristin Wollenzin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1958 Cedar River Ct, Fleming Island, FL 32003 Phone: 904-304-2284
Melanie Sarris, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2245 Plantation Center Dr, Fleming Island, FL 32003 Phone: 904-374-1414

Jacqueline Kay Nizamoff, OTR CHT - Medicare Occupational Therapist in Fleming Island, FL