Mrs Jacqueline Michelle Quinn, MPT in Petaluma, CA - Medicare Physical Therapist Provider

Mrs Jacqueline Michelle Quinn, MPT is a medicare enrolled "Physical Therapist" provider in Petaluma, California. Her current practice location is 169 Lynch Creek Way, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 763-0115.

Mrs Jacqueline Michelle Quinn is licensed to practice in California (license number PT25800) 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 1023071909.

Contact Information

	Mrs Jacqueline Michelle Quinn, MPT
	169 Lynch Creek Way, Petaluma, CA 94954-2344
	(707) 763-0115
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jacqueline Michelle Quinn
Gender	Female
Speciality	Physical Therapist
Location	169 Lynch Creek Way, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023071909
Provider Enumeration Date: 04/10/2006
Last Update Date: 11/20/2018

Medicare PECOS Information:

PECOS PAC ID: 0547506305
Enrollment ID: I20190115003075

Medical Identifiers

Medical identifiers for Mrs Jacqueline Michelle Quinn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023071909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT25800 (California)	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. Mrs Jacqueline Michelle Quinn allows following entities to bill medicare on her behalf.

Provider Name	Mdrs Spine & Sport Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725

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. Mrs Jacqueline Michelle Quinn 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
Mrs Jacqueline Michelle Quinn, MPT 8421 Honor Pl, Cotati, CA 94931-5356 Ph: (707) 793-9580	Mrs Jacqueline Michelle Quinn, MPT 169 Lynch Creek Way, Petaluma, CA 94954-2344 Ph: (707) 763-0115

Reviews and Comments

Physical Therapist in Petaluma, CA

Next Level Physical Therapy Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 719 Southpoint Blvd, Suite A, Petaluma, CA 94954 Phone: 707-781-8062 Fax: 707-981-8684
Ms. Lory M Teicheira, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 306 Bassett St, Petaluma, CA 94952 Phone: 707-769-0915 Fax: 707-769-9244
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Christine O'meara, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1712 Chehalis Dr, Petaluma, CA 94954 Phone: 707-849-9310
Corriene Atup, BSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1108 Ponderosa Dr, Petaluma, CA 94954 Phone: 415-420-9185

Mrs Jacqueline Michelle Quinn, MPT - Medicare Physical Therapist in Petaluma, CA