Jane Zak, OTR/L in Forty Fort, PA - Medicare Occupational Therapist Provider

Jane Zak, OTR/L is a medicare enrolled "Occupational Therapist" provider in Forty Fort, Pennsylvania. Her current practice location is 1133 Wyoming Ave, Forty Fort, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 714-1246.

Jane Zak is licensed to practice in Pennsylvania (license number OC013127) 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 1477001402.

Contact Information

	Jane Zak, OTR/L
	1133 Wyoming Ave, Forty Fort, PA 18704-4003
	(570) 714-1246
	(570) 714-1249

Map and Direction

Healthcare Provider's Profile

Full Name	Jane Zak
Gender	Female
Speciality	Occupational Therapist
Location	1133 Wyoming Ave, Forty Fort, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477001402
Provider Enumeration Date: 09/20/2016
Last Update Date: 05/14/2025

Medicare PECOS Information:

PECOS PAC ID: 6204352289
Enrollment ID: I20250502001283

Medical Identifiers

Medical identifiers for Jane Zak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477001402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OC013127 (Pennsylvania)	Primary
171W00000X	Contractor	OC13127 (Pennsylvania)	Secondary

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. Jane Zak allows following entities to bill medicare on her behalf.

Provider Name	Wyoming Valley Childrens Association
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1639213473 PECOS PAC ID: 6305369323 Enrollment ID: O20250401000507

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. Jane Zak 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
Jane Zak, OTR/L 1133 Wyoming Ave, Forty Fort, PA 18704-4003 Ph: (570) 714-1246	Jane Zak, OTR/L 1133 Wyoming Ave, Forty Fort, PA 18704-4003 Ph: (570) 714-1246

Reviews and Comments

Occupational Therapist in Forty Fort, PA

Beyond Behavior Consulting Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 43 Virginia Ter, Forty Fort, PA 18704 Phone: 570-846-0455
Ms. Shari R Aude, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1133 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-714-1246
Emily Witts, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1003 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-846-0455
Renee Gluchowski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1003 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-846-0455
Erica Haefele, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1003 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-846-0455
Dr. Terri Bugelholl, OTD OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1003 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-846-0455

Jane Zak, OTR/L - Medicare Occupational Therapist in Forty Fort, PA