Austin R Jackson, in Lynchburg, VA - Medicare Physical Therapist Provider

Austin R Jackson, is a medicare enrolled "Physical Therapist" provider in Lynchburg, Virginia. His current practice location is 2400 Lakeside Drive, Suite 602f, Lynchburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 338-7215.

Austin R Jackson is licensed to practice in * (Not Available) (license number ) 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 1770271074.

Contact Information

	Austin R Jackson,
	2400 Lakeside Drive, Suite 602f, Lynchburg, VA 24501
	(434) 338-7215
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Austin R Jackson
Gender	Male
Speciality	Physical Therapist
Location	2400 Lakeside Drive, Lynchburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770271074
Provider Enumeration Date: 04/26/2023
Last Update Date: 04/26/2023

Medicare PECOS Information:

PECOS PAC ID: 1052770492
Enrollment ID: I20230703003030

Medical Identifiers

Medical identifiers for Austin R Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770271074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Austin R Jackson allows following entities to bill medicare on his behalf.

Provider Name	Tidewater Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029

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. Austin R Jackson 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
Austin R Jackson, 2400 Lakeside Dr, Suite 602f, Lynchburg, VA 24501 Ph: () -	Austin R Jackson, 2400 Lakeside Drive, Suite 602f, Lynchburg, VA 24501 Ph: (434) 338-7215

Reviews and Comments

Physical Therapist in Lynchburg, VA

Mrs. Mona Fazzina, PT,DPT,GCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Clifton St, Lynchburg, VA 24501 Phone: 434-845-9053
Kelsey T Wood, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-200-4668
Laura Souers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 V E S Rd, Lynchburg, VA 24503 Phone: 434-386-3500
Hope Johnson Trent, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20311 Timberlake Rd # B, Lynchburg, VA 24502 Phone: 434-237-6812 Fax: 434-509-1695
Joseph Spagnolo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20311 Timberlake Rd Ste B, Lynchburg, VA 24502 Phone: 434-845-9053 Fax: 434-528-2788
Ashley Erin Hoath, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 2405 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-485-8500 Fax: 434-485-8599
David Puskas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2405 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-485-8517 Fax: 434-485-8594

Austin R Jackson, - Medicare Physical Therapist in Lynchburg, VA