Jeremy Stephenson, is a medicare enrolled "Physical Therapist" provider in Russell, Kentucky. His current practice location is
1451 Diederich Blvd, Russell, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 836-6683.
Jeremy Stephenson is licensed to practice in Kentucky (license number 006678) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215470125.
Healthcare Provider's Profile
| Full Name | Jeremy Stephenson |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 1451 Diederich Blvd, Russell, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215470125
- Provider Enumeration Date: 11/24/2016
- Last Update Date: 12/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022447671
- Enrollment ID: I20200404000105
Medical Identifiers
Medical identifiers for Jeremy Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215470125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 004165 (West Virginia) | Secondary |
| 225100000X | Physical Therapist | 006678 (Kentucky) | 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. Jeremy Stephenson allows following entities to bill medicare on his behalf.
| Provider Name | Bodyworx Physical Therapy & Chiropractic Wellness Center Pllc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1598819468
PECOS PAC ID: 3870510142
Enrollment ID: O20240418003780 |
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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. Jeremy Stephenson 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 |
|---|
Jeremy Stephenson,
1451 Diederich Blvd,
Russell, KY 41169-1718
Ph: (606) 836-6683 | Jeremy Stephenson,
1451 Diederich Blvd,
Russell, KY 41169-1718
Ph: (606) 836-6683 |
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