Mrs Jaclyn Ann Polk, DPT in Concord, NC - Medicare Physical Therapist Provider

Mrs Jaclyn Ann Polk, DPT is a medicare enrolled "Physical Therapist" provider in Concord, North Carolina. Her current practice location is 5011 Weddington Rd Ste 50, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 248-1211.

Mrs Jaclyn Ann Polk is licensed to practice in North Carolina (license number P18923) 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 1679848667.

Contact Information

	Mrs Jaclyn Ann Polk, DPT
	5011 Weddington Rd Ste 50, Concord, NC 28027-9037
	(980) 248-1211
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jaclyn Ann Polk
Gender	Female
Speciality	Physical Therapist
Location	5011 Weddington Rd Ste 50, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679848667
Provider Enumeration Date: 03/09/2012
Last Update Date: 08/06/2019

Medicare PECOS Information:

PECOS PAC ID: 3072774439
Enrollment ID: I20120411000294

Medical Identifiers

Medical identifiers for Mrs Jaclyn Ann Polk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679848667	NPI	-	NPPES
1679848667	Other	NC	PHYSICAL THERAPY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305207809 (Virginia)	Secondary
225100000X	Physical Therapist	PT871313 (District Of Columbia)	Secondary
225100000X	Physical Therapist	P18923 (North Carolina)	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 Jaclyn Ann Polk allows following entities to bill medicare on her behalf.

Provider Name	Professional Sportscare & Rehab Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033142294 PECOS PAC ID: 9335137363 Enrollment ID: O20160418000007

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 Jaclyn Ann Polk 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 Jaclyn Ann Polk, DPT 5011 Weddington Rd Ste 50, Concord, NC 28027-9037 Ph: (980) 248-1211	Mrs Jaclyn Ann Polk, DPT 5011 Weddington Rd Ste 50, Concord, NC 28027-9037 Ph: (980) 248-1211

Reviews and Comments

Physical Therapist in Concord, NC

Felipe Fidalgo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 236 Le Phillip Ct Ne, Concord, NC 28025 Phone: 704-707-4282 Fax: 704-795-4389
Nikita Purohit, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9921 Violet Cannon Dr Nw, Concord, NC 28027 Phone: 704-912-7510
Kiran Kumar Ganugapenta, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10669 Sky Chase Ave Nw, Concord, NC 28027 Phone: 989-760-1028
Toni Corbani, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 970 Branchview Dr Ne Ste 160, Concord, NC 28025 Phone: 818-515-0894
Janet Harte, Physical Therapist Medicare: Medicare Enrolled Practice Location: 354 Copperfield Blvd Ne, Concord, NC 28025 Phone: 042-624-1817 Fax: 704-721-0916
Heather Maclaughlin Goodman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 354 Copperfield Blvd Ne, Concord, NC 28025 Phone: 704-323-2000
Kyle Hillard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 354 Copperfield Blvd Ne, Concord, NC 28025 Phone: 704-323-2000

Mrs Jaclyn Ann Polk, DPT - Medicare Physical Therapist in Concord, NC