Lisa Jacques, in Wildwood, MO - Medicare Occupational Therapist Provider

Lisa Jacques, is a medicare enrolled "Occupational Therapist" provider in Wildwood, Missouri. Her current practice location is 16972 Manchester Rd, Wildwood, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 477-5187.

Lisa Jacques is licensed to practice in Missouri (license number 2012035100) 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 1457692915.

Contact Information

	Lisa Jacques,
	16972 Manchester Rd, Wildwood, MO 63040-1200
	(636) 477-5187
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Jacques
Gender	Female
Speciality	Occupational Therapist
Location	16972 Manchester Rd, Wildwood, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457692915
Provider Enumeration Date: 03/08/2013
Last Update Date: 10/12/2022

Medicare PECOS Information:

PECOS PAC ID: 2264808021
Enrollment ID: I20221019000782

Medical Identifiers

Medical identifiers for Lisa Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457692915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	2012035100 (Missouri)	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. Lisa Jacques allows following entities to bill medicare on her behalf.

Provider Name	Jacques Optometry Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386217586 PECOS PAC ID: 9436552445 Enrollment ID: O20210728003651

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. Lisa Jacques 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
Lisa Jacques, 16972 Manchester Rd, Wildwood, MO 63040-1200 Ph: () -	Lisa Jacques, 16972 Manchester Rd, Wildwood, MO 63040-1200 Ph: (636) 477-5187

Reviews and Comments

Occupational Therapist in Wildwood, MO

Mrs. Julie Lynn Clark, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2446 Forest Leaf Pkwy, Wildwood, MO 63011 Phone: 636-458-2584 Fax: 636-458-2584
Mrs. Carol J Kern, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16350 Lakeshore Terrace Ct, Wildwood, MO 63038 Phone: 636-394-4766
Danae Marie Wollberg, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 531 Roaring Fork Dr, Wildwood, MO 63040 Phone: 314-705-5710
Meghan Cunningham, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 251 Plaza Dr, Wildwood, MO 63040 Phone: 314-403-1698
Susan Lynn Inserra, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1423 Westhampton View Ln, Wildwood, MO 63005 Phone: 636-821-1043
Mr. Steven Ice, MOT, OT/L, CDRS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16639 Westglen Farms Dr, Wildwood, MO 63011 Phone: 314-920-0583 Fax: 636-821-1805

Lisa Jacques, - Medicare Occupational Therapist in Wildwood, MO