JACKIE BIELLAK (NPI# 1770843831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770843831 |
| Entity Type | Individual |
| Full Name | JACKIE BIELLAK |
| Practice Address |
3131 Sheridan Dr Amherst NY 14226-1977 |
| Practice Telephone | 7168803707 |
| Practice Fax Number | 7168172602 |
| Mailing Telephone | 7168803707 |
| Mailing Fax Number | 7168172602 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3131 SHERIDAN DR |
| City | AMHERST |
| State | NY |
| Zip Code | 14226-1977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356655997 | People Inc. | Psychologist | 3131 Sheridan Dr, Amherst, NY 14226 | 2010-08-05 |
| 1417321225 | Kathleen Behan | Case Manager/Care Coordinator | 3131 Sheridan Dr, Amherst, NY 14226-1977 | 2015-11-17 |
| 1194155754 | Kathryn Decoux | Case Manager/Care Coordinator | 3131 Sheridan Dr, Amherst, NY 14226-1977 | 2013-11-19 |
| 1669732699 | Rita Margaret Silverman | Case Manager/Care Coordinator | 3131 Sheridan Dr, Amherst, NY 14226-1977 | 2012-05-24 |
| 1356601470 | Kristin Stevanovic | Case Manager/Care Coordinator | 3131 Sheridan Dr, Amherst, NY 14226-1977 | 2012-05-23 |
| 1083974109 | Priscilla Ofelia Bauer | Case Manager/Care Coordinator | 3131 Sheridan Dr, Amherst, NY 14226-1977 | 2012-05-23 |
| 1104186253 | Claire Wolfram | Case Manager/Care Coordinator | 3131 Sheridan Dr, Amherst, NY 14226-1977 | 2012-05-23 |
| 1043570203 | Joanne Florence Haberer | Case Manager/Care Coordinator | 3131 Sheridan Dr, Amherst, NY 14226-1977 | 2012-05-22 |
| 1518227784 | Kaitlyn Reed | Case Manager/Care Coordinator | 3131 Sheridan Dr, Amherst, NY 14226-1977 | 2012-05-22 |
| 1780944959 | Marisol Padilla | Case Manager/Care Coordinator | 3131 Sheridan Dr, Amherst, NY 14226-1977 | 2012-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1942846209 | Anthony Constance | Occupational Therapist | Excelsior Orthopaedics, 3925 Sheridan Drive, Amherst, NY 14226 | 2019-11-21 |
| 1730743931 | Mark Marcello | Physical Therapy Assistant | 4498 Main/harlem Rd Suite 24, Amherst, NY 14226 | 2019-04-24 |
| 1528531084 | Kimberly Girdlestone | Social Worker | 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 | 2019-01-08 |
| 1043781503 | Justin Patrick Nelson | Physical Therapist | 4498 Main St. Suite 24, Amherst, NY 14226 | 2018-12-10 |
| 1962979195 | Meghan Jim Dougher | Student in an Organized Health Care Education/Training Program | 167 Darwin Dr., Snyder, NY 14226 | 2018-10-25 |
| 1790260982 | Orchard Park Dentalcare Pllc | Clinic/Center | 3302 Sheridan Dr, Buffalo, NY 14226 | 2018-10-03 |
| 1619472719 | Rapha Family Medical Wellness PC | Family Medicine | 3610 Main Street, Amherst, NY 14226 | 2018-03-29 |
| 1790299832 | Medical Ecp of Western New York P C | Internal Medicine | 4330 Maple Rd Ste 102, Amherst, NY 14226 | 2017-11-28 |
| 1841709425 | Elisabeth Wagner | Physical Therapy Assistant | 4498 Main St., Suite 24, Amherst, NY 14226 | 2017-09-26 |
| Find all providers in zip 14226 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023467271 | Lakisha Jones | Case Manager/Care Coordinator | 117 Montfair Dr, Amherst, VA 24521-2732 | 2016-06-08 |
| 1891108643 | Diana Hernandez | Case Manager/Care Coordinator | 780 Riverglade Dr Apt J, Amherst, MA 01002-3617 | 2014-06-10 |
| 1447729249 | Michelle Lee Fertig | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2018-11-21 |
| 1962971184 | Danae Brynn Wrice | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2018-11-16 |
| 1881179208 | Courtney Anne Reynolds | Case Manager/Care Coordinator | 4242 Ridge Lea Rd, Amherst, NY 14226-1051 | 2018-10-02 |
| 1144738683 | Audra M Donlon | Case Manager/Care Coordinator | 4242 Ridge Lea Rd, Amherst, NY 14226-1051 | 2018-01-18 |
| 1558873885 | Samantha Jean Kimbler | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-10-26 |
| 1467964726 | Cassandra Marie Cataldo | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-10-26 |
| 1487164612 | Kristine Dence | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-10-02 |
| 1679083828 | Keily Balduff | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-10-02 |
| Find all providers in AMHERST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.