Brianne T Jacobson, PT in Waterford, WI - Medicare Physical Therapist Provider

Brianne T Jacobson, PT is a medicare enrolled "Physical Therapist" provider in Waterford, Wisconsin. Her current practice location is 818 Forest Ln, Waterford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 514-8177.

Brianne T Jacobson is licensed to practice in Wisconsin (license number 13549-24) 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 1922543081.

Contact Information

	Brianne T Jacobson, PT
	818 Forest Ln, Waterford, WI 53185-4585
	(262) 514-8177
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brianne T Jacobson
Gender	Female
Speciality	Physical Therapist
Location	818 Forest Ln, Waterford, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922543081
Provider Enumeration Date: 12/28/2016
Last Update Date: 12/28/2021

Medicare PECOS Information:

PECOS PAC ID: 4789956038
Enrollment ID: I20170821002637

Medical Identifiers

Medical identifiers for Brianne T Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922543081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13549-24 (Wisconsin)	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. Brianne T Jacobson allows following entities to bill medicare on her behalf.

Provider Name	Aurora Medical Group, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Brianne T Jacobson 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
Brianne T Jacobson, PT 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2233	Brianne T Jacobson, PT 818 Forest Ln, Waterford, WI 53185-4585 Ph: (262) 514-8177

Reviews and Comments

Physical Therapist in Waterford, WI

Dawn Shuda, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257
Matthew Ferlindes, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700
Jennifer M. Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 Fax: 262-514-3003
Stacey Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257
Jose Crespo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 Fax: 262-514-3003
Sadie Tenhagen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-558-8599 Fax: 262-758-5468
Kyle F Sampson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 315 N Milwaukee St, Waterford, WI 53185 Phone: 262-514-2700 Fax: 262-514-3003

Brianne T Jacobson, PT - Medicare Physical Therapist in Waterford, WI