Doctor profile · Federal record
Dr. Jaclyn Dibartolomeo, PA-C
Physician Assistant · Troy, MI
- NPI 1629625546
- Accepts Medicare
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
44201 Dequindre RD
Troy, MI 480851117
(248) 964-4866 - Mailing address
-
26901 Beaumont Blvd Ste 3D
Southfield, MI 480333849
Credentials & registration
- NPI registered
- August 2019 — 7 yrs on file
- Profile last updated
- December 29, 2020
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Michigan #5601009625
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629625546. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$84
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 2 | $67.74 | |
| Terumo Medical Corporation | 1 | $16.19 |
By nature of payment
Frequently asked questions
What is Dr. Jaclyn Dibartolomeo's medical specialty?
Dr. Jaclyn Dibartolomeo practices Physician Assistant in Troy, MI.
Where does Dr. Jaclyn Dibartolomeo practice?
Dr. Jaclyn Dibartolomeo practices at 44201 Dequindre RD, Troy, MI 480851117. Office phone: 2489644866.
What is Dr. Jaclyn Dibartolomeo's NPI?
Dr. Jaclyn Dibartolomeo's National Provider Identifier (NPI) is 1629625546, issued by NPPES.
Does Dr. Jaclyn Dibartolomeo accept Medicare assignment?
Yes. Dr. Jaclyn Dibartolomeo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.