Dr Aletha Jackson, DPT in Fairport, NY - Medicare Physical Therapist Provider

Dr Aletha Jackson, DPT is a medicare enrolled "Physical Therapist" provider in Fairport, New York. Her current practice location is 2154 Fairport Nine Mile Pt Rd, Fairport, New York. You can reach out to her office (for appointments etc.) via phone at (585) 364-1567.

Dr Aletha Jackson is licensed to practice in New York (license number 048929) 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 1477277531.

Contact Information

	Dr Aletha Jackson, DPT
	2154 Fairport Nine Mile Pt Rd, Fairport, NY 14450-8637
	(585) 364-1567
	(585) 364-1572

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Aletha Jackson
Gender	Female
Speciality	Physical Therapist
Location	2154 Fairport Nine Mile Pt Rd, Fairport, 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: 1477277531
Provider Enumeration Date: 10/03/2022
Last Update Date: 10/03/2022

Medicare PECOS Information:

PECOS PAC ID: 5597134973
Enrollment ID: I20221206002991

Medical Identifiers

Medical identifiers for Dr Aletha Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477277531	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	048929 (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. Dr Aletha Jackson allows following entities to bill medicare on her behalf.

Provider Name	Agape Physical Therapy Services, Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1841200649 PECOS PAC ID: 1153302823 Enrollment ID: O20040527001091

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. Dr Aletha 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
Dr Aletha Jackson, DPT 92 West Ave, Brockport, NY 14420-1306 Ph: (585) 637-0790	Dr Aletha Jackson, DPT 2154 Fairport Nine Mile Pt Rd, Fairport, NY 14450-8637 Ph: (585) 364-1567

Reviews and Comments

Physical Therapist in Fairport, NY

Star Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 790 Ayrault Road, Fairport, NY 14450 Phone: 585-425-1018 Fax: 585-425-8955
Dr. Heather Michele Chatt, DPT, OCS, CERT. MDT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 790 Ayrault Rd, Fairport, NY 14450 Phone: 585-425-1018
Amy Colin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 149 N Main St, Bright Start Pediatric Services, Fairport, NY 14450 Phone: 585-377-2230
Lauren Elizabeth Porzi, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4646 Fairport Nine Mile Pt Rd, Fairport, NY 14450 Phone: 585-377-0350
Alexandra Claflin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1387 Fairport Rd, Building 1100, Fairport, NY 14450 Phone: 585-641-0304 Fax: 585-641-0316
Dr. Rodrigo Macias Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4646 Fairport Nine Mile Pt Rd, Fairport, NY 14450 Phone: 909-419-6606
Mrs. Allison Beth Kling Simonian, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Ayrault Rd, Fairport, NY 14450 Phone: 585-425-1018 Fax: 585-425-8955

Dr Aletha Jackson, DPT - Medicare Physical Therapist in Fairport, NY