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JACLYN THERESA MAUCH
NPI 1205463676
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 25, 2020PECOS Enrolled
3400 CIVIC CENTER BLVD BLDG 421, PHILADELPHIA, PA 19104(215) 662-2560 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Theresa Mauch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN THERESA MAUCH (NPI 1205463676) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205463676
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACLYN THERESA MAUCH
Location Address3400 CIVIC CENTER BLVD BLDG 421Philadelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd Bldg 421Philadelphia, PA 19104-5127
Phone(215) 662-2560
Sole ProprietorNo
Enumeration DateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1205463676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3400 CIVIC CENTER BLVD BLDG 421, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Theresa Mauch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER C LEE
Student in an Organized Health Care Education/Training Program
3400 CIVIC CENTER BLVD BLDG 421
PHILADELPHIA, PA 19104
Philadelphia County (215) 898-8001
ALBERT QIZE WU
Student in an Organized Health Care Education/Training Program
3400 CIVIC CENTER BLVD BLDG 421
PHILADELPHIA, PA 19104
Philadelphia County (215) 898-8001
PARKER TYLER KRONEN
Student in an Organized Health Care Education/Training Program
3400 CIVIC CENTER BLVD BLDG 421
PHILADELPHIA, PA 19104
Philadelphia County (614) 800-2683
MORGAN ALEXA LEFF
Student in an Organized Health Care Education/Training Program
3400 CIVIC CENTER BLVD BLDG 421
PHILADELPHIA, PA 19104
Philadelphia County (614) 800-2683
SARA BERNADETTE HOBDAY BA
Student in an Organized Health Care Education/Training Program
3400 CIVIC CENTER BLVD BLDG 421
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000
DR. DANIEL DU PONT MD
Emergency Medicine
3400 CIVIC CENTER BLVD BLDG 421
PHILADELPHIA, PA 19104
Philadelphia County (215) 898-6796
AKHILESH BASI REDDY MD
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD BLDG 421
PHILADELPHIA, PA 19104
Philadelphia County (267) 541-4994
RUOHENG ZENG
Student in an Organized Health Care Education/Training Program
3400 CIVIC CENTER BLVD BLDG 421
PHILADELPHIA, PA 19104
Philadelphia County (215) 898-8001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Mauch's NPI number?

The NPI number for Jaclyn Mauch is 1205463676. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Jaclyn Mauch located?

Jaclyn Mauch practices at 3400 Civic Center Blvd Bldg 421, Philadelphia, PA 19104. The listed phone number is (215) 662-2560.

What is Jaclyn Mauch's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jaclyn Mauch enrolled in Medicare?

Yes. Jaclyn Mauch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaclyn Mauch was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.