Brandi Jackson, DPT is a medicare enrolled "Physical Therapist" provider in South Weber, Utah. Her current practice location is
2572 E South Weber Dr Ste 5, South Weber, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 479-7045.
Brandi Jackson is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316406747.
Healthcare Provider's Profile
| Full Name | Brandi Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 2572 E South Weber Dr Ste 5, South Weber, Utah |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1316406747
- Provider Enumeration Date: 03/15/2019
- Last Update Date: 03/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 0941674311
- Enrollment ID: I20230327000517
Medical Identifiers
Medical identifiers for Brandi Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316406747 | NPI | - | NPPES |
| 11189504-2401 | Other | UT | PT LICENSE |
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. Brandi Jackson allows following entities to bill medicare on her behalf.
| Provider Name | Orthopaedic And Neurological Rehab Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1225496540
PECOS PAC ID: 6507159126
Enrollment ID: O20200930001509 |
|---|
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. Brandi 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 |
|---|
Brandi Jackson, DPT
Po Box 711185,
Salt Lake City, UT 84171-1185
Ph: () - | Brandi Jackson, DPT
2572 E South Weber Dr Ste 5,
South Weber, UT 84405-9550
Ph: (801) 479-7045 |
Reviews and Comments