Jennifer Cynthia Kubacik, OT is a medicare enrolled "Occupational Therapist" provider in Lakemoor, Illinois. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Mercy Health System Corporation and her current practice location is
27655 Il-120, Lakemoor, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 890-5900.
Jennifer Cynthia Kubacik is licensed to practice in Illinois (license number 056-010930) 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 1609390087.
Healthcare Provider's Profile
| Full Name | Jennifer Cynthia Kubacik |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 12 Years |
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| Location | 27655 Il-120, Lakemoor, Illinois |
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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:
- Jennifer Cynthia Kubacik graduated from medical school in 2014
NPI Data:
- NPI Number: 1609390087
- Provider Enumeration Date: 07/27/2017
- Last Update Date: 07/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 5698135242
- Enrollment ID: I20230714001604
Medical Identifiers
Medical identifiers for Jennifer Cynthia Kubacik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609390087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 056-010930 (Illinois) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Health System Corporation | 7416860440 | 757 |
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. Jennifer Cynthia Kubacik allows following entities to bill medicare on her behalf.
| Provider Name | Mercy Health System Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031111000307 |
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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. Jennifer Cynthia Kubacik 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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Jennifer Cynthia Kubacik, OT
29373 Network Pl,
Chicago, IL 60673-1293
Ph: (847) 390-5900 | Jennifer Cynthia Kubacik, OT
27655 Il-120,
Lakemoor, IL 60051
Ph: (847) 890-5900 |
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