Jaclyn Kaye Sullivan, DPT in Two Rivers, WI - Medicare Physical Therapist Provider

Jaclyn Kaye Sullivan, DPT is a medicare enrolled "Physical Therapist" provider in Two Rivers, Wisconsin. Her current practice location is 800 Lakefront Way, Two Rivers, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 320-2436.

Jaclyn Kaye Sullivan is licensed to practice in Wisconsin (license number 12600) 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 1235338377.

Contact Information

	Jaclyn Kaye Sullivan, DPT
	800 Lakefront Way, Two Rivers, WI 54241-3301
	(920) 320-2436
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Kaye Sullivan
Gender	Female
Speciality	Physical Therapist
Location	800 Lakefront Way, Two Rivers, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235338377
Provider Enumeration Date: 07/17/2007
Last Update Date: 12/20/2023

Medicare PECOS Information:

PECOS PAC ID: 0941674527
Enrollment ID: I20230322001027

Medical Identifiers

Medical identifiers for Jaclyn Kaye Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235338377	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12600 (Wisconsin)	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. Jaclyn Kaye Sullivan allows following entities to bill medicare on her behalf.

Provider Name	Froedtert Manitowoc Medical Group, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282

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. Jaclyn Kaye Sullivan 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
Jaclyn Kaye Sullivan, DPT 800 Lakefront Way, Two Rivers, WI 54241-3301 Ph: (920) 320-2436	Jaclyn Kaye Sullivan, DPT 800 Lakefront Way, Two Rivers, WI 54241-3301 Ph: (920) 320-2436

Reviews and Comments

Physical Therapist in Two Rivers, WI

Matthew Klein, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000
Nicole Rieth, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000
Mrs. Lanan Rae Dixon, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1400 Washington St, Suite 3, Two Rivers, WI 54241 Phone: 920-553-8993 Fax: 920-553-8990
Pamela Sines, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2219 Garfield St, Two Rivers, WI 54241 Phone: 920-793-2281
Alexis Lindstrom, DOCTOR OF PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5300 Memorial Dr Fl 2, Two Rivers, WI 54241 Phone: 920-793-7570
Corey Vogel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5300 Memorial Dr Fl 2, Two Rivers, WI 54241 Phone: 920-793-7570

Jaclyn Kaye Sullivan, DPT - Medicare Physical Therapist in Two Rivers, WI