Jaclyn Skirkanich, in Westbrook, CT - Medicare Physical Therapist Provider

Jaclyn Skirkanich, is a medicare enrolled "Physical Therapist" provider in Westbrook, Connecticut. Her current practice location is 5 Pequot Park Rd Ste 102, Westbrook, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 399-6411.

Jaclyn Skirkanich is licensed to practice in Connecticut (license number 14013881) 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 1548652829.

Contact Information

	Jaclyn Skirkanich,
	5 Pequot Park Rd Ste 102, Westbrook, CT 06498-2856
	(860) 399-6411
	(860) 399-6822

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Skirkanich
Gender	Female
Speciality	Physical Therapist
Location	5 Pequot Park Rd Ste 102, Westbrook, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548652829
Provider Enumeration Date: 02/24/2015
Last Update Date: 02/08/2023

Medicare PECOS Information:

PECOS PAC ID: 2062884240
Enrollment ID: I20230216001812

Medical Identifiers

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

Identifier	Type	State	Issuer
1548652829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	14013881 (Connecticut)	Primary
225200000X	Physical Therapy Assistant	630001528 (Connecticut)	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. Jaclyn Skirkanich allows following entities to bill medicare on her behalf.

Provider Name	Anb-ptsma Holdings Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1659453371 PECOS PAC ID: 4789572926 Enrollment ID: O20100928000128

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 Skirkanich 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 Skirkanich, 47 N Main St, West Hartford, CT 06107-1926 Ph: (860) 409-4595	Jaclyn Skirkanich, 5 Pequot Park Rd Ste 102, Westbrook, CT 06498-2856 Ph: (860) 399-6411

Reviews and Comments

Physical Therapist in Westbrook, CT

Brittany Kearney, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5 Pequot Park Rd Ste 102, Westbrook, CT 06498 Phone: 860-399-6411
Kevin Smith, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 Pequot Park Rd, Suite 303, Westbrook, CT 06498 Phone: 860-399-6411 Fax: 860-399-6822
Meagan Hoffman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498 Phone: 860-399-6411 Fax: 860-399-6822
Rachel Barr, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5 Pequot Park Rd Ste 102, Westbrook, CT 06498 Phone: 860-399-6411
Suhani Patel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5 Pequot Park Rd Ste 102, Westbrook, CT 06498 Phone: 860-399-6411 Fax: 860-399-6822
Kenneth King, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5 Pequot Park Rd Ste 102, Westbrook, CT 06498 Phone: 860-399-6411

Jaclyn Skirkanich, - Medicare Physical Therapist in Westbrook, CT