Daile M Jackson, PT, DPT in Jamestown, NY - Medicare Physical Therapist Provider

Daile M Jackson, PT, DPT is a medicare enrolled "Physical Therapist" provider in Jamestown, New York. Her current practice location is 774 Fairmount Ave, Jamestown, New York. You can reach out to her office (for appointments etc.) via phone at (716) 665-1166.

Daile M Jackson is licensed to practice in New York (license number 033817-1) 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 1306134267.

Contact Information

	Daile M Jackson, PT, DPT
	774 Fairmount Ave, Jamestown, NY 14701-2609
	(716) 665-1166
	(866) 902-1160

Map and Direction

Healthcare Provider's Profile

Full Name	Daile M Jackson
Gender	Female
Speciality	Physical Therapist
Location	774 Fairmount Ave, Jamestown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306134267
Provider Enumeration Date: 07/13/2011
Last Update Date: 01/30/2022

Medicare PECOS Information:

PECOS PAC ID: 2365614955
Enrollment ID: I20111003000629

Medical Identifiers

Medical identifiers for Daile M Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306134267	NPI	-	NPPES
03424691	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	033817-1 (New York)	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. Daile M Jackson allows following entities to bill medicare on her behalf.

Provider Name	Health Aquatic Wellness Of Chautauqua Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1144980962 PECOS PAC ID: 3971999814 Enrollment ID: O20220401001797

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. Daile M 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
Daile M Jackson, PT, DPT 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701-9706 Ph: (716) 665-0773	Daile M Jackson, PT, DPT 774 Fairmount Ave, Jamestown, NY 14701-2609 Ph: (716) 665-1166

Reviews and Comments

Physical Therapist in Jamestown, NY

Mr. Michael Carl Peterson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2850 Mitchell Rd, Jamestown, NY 14701 Phone: 716-487-1713
Akashdeep Kaur-brar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 774 Fairmount Ave, Jamestown, NY 14701 Phone: 716-665-1166
Raymond Lukach, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Jones And Gifford Ave, Jamestown, NY 14701 Phone: 716-661-1541
Mr. Jacob Christopher Mcbride, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 S Main Street, Suite 220, Jamestown, NY 14701 Phone: 716-488-2322 Fax: 716-488-2574
William Bowler, MS Physical Therapist Medicare: Medicare Enrolled Practice Location: 75 Jones And Gifford Ave, Jamestown, NY 14701 Phone: 716-661-1541
Megan E Mckinley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 75 Jones And Gifford Ave, Jamestown, NY 14701 Phone: 716-661-1541
Leandra Nicole St. Pierre, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 S Main St, Suite 220, Jamestown, NY 14701 Phone: 716-488-2322 Fax: 716-488-2574

Daile M Jackson, PT, DPT - Medicare Physical Therapist in Jamestown, NY