Jacquelyn Nicole-jaqua Schwanz, OTRL is a medicare enrolled "Occupational Therapist" provider in Harrisville, Michigan. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Broad River Rehabilitation and her current practice location is
112 Huron Ave, Harrisville, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 572-9395.
Jacquelyn Nicole-jaqua Schwanz is licensed to practice in Michigan (license number 5201008132) 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 1992135578.
Healthcare Provider's Profile
| Full Name | Jacquelyn Nicole-jaqua Schwanz |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 15 Years |
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| Location | 112 Huron Ave, Harrisville, Michigan |
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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. |
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Medical Education and Training:
- Jacquelyn Nicole-jaqua Schwanz graduated from medical school in 2011
NPI Data:
- NPI Number: 1992135578
- Provider Enumeration Date: 11/19/2013
- Last Update Date: 06/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951813690
- Enrollment ID: I20250626002141
Medical Identifiers
Medical identifiers for Jacquelyn Nicole-jaqua Schwanz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992135578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | OT013163 (Ohio) | Secondary |
| 225X00000X | Occupational Therapist | 8380-26 (Wisconsin) | Secondary |
| 225X00000X | Occupational Therapist | 6102 (Oklahoma) | Secondary |
| 225X00000X | Occupational Therapist | 5201008132 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Broad River Rehabilitation | 3375801350 | 26 |
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. Jacquelyn Nicole-jaqua Schwanz 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 |
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Jacquelyn Nicole-jaqua Schwanz, OTRL
112 Huron Ave,
Harrisville, MI 48740-9216
Ph: (989) 572-9395 | Jacquelyn Nicole-jaqua Schwanz, OTRL
112 Huron Ave,
Harrisville, MI 48740-9216
Ph: (989) 572-9395 |
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