Dr Jack Gillingham, PT, DPT in Talent, OR - Medicare Physical Therapist Provider

Dr Jack Gillingham, PT, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Talent, Oregon. His current practice location is 288 S Pacific Hwy, Talent, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 482-6360.

Dr Jack Gillingham is licensed to practice in Oregon (license number 65317) 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 1548090004.

Contact Information

	Dr Jack Gillingham, PT, DPT
	288 S Pacific Hwy, Talent, OR 97540-6649
	(541) 482-6360
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jack Gillingham
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	288 S Pacific Hwy, Talent, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548090004
Provider Enumeration Date: 08/07/2024
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0749712990
Enrollment ID: I20241014002231

Medical Identifiers

Medical identifiers for Dr Jack Gillingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548090004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	65317 (Oregon)	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 Jack Gillingham allows following entities to bill medicare on his behalf.

Provider Name	Jackson County Physical Therapy Llp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013112903 PECOS PAC ID: 4284615311 Enrollment ID: O20040525001770

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 Jack Gillingham 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 Jack Gillingham, PT, DPT 36 Hawthorne St, Medford, OR 97504-7114 Ph: () -	Dr Jack Gillingham, PT, DPT 288 S Pacific Hwy, Talent, OR 97540-6649 Ph: (541) 482-6360

Reviews and Comments

Physical Therapist in Talent, OR

Brad A Parmenter, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 S. Pacific Hwy., Suite A, Talent, OR 97540 Phone: 541-535-2551 Fax: 541-535-1417
Mary Gorman, PT/LMT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 309 S Pacific Hwy, Talent, OR 97540 Phone: 541-535-7019 Fax: 541-512-8717
Turning Point Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 S. Pacific Hwy., Suite A, Talent, OR 97540 Phone: 541-535-2551 Fax: 541-535-1417
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 N Pacific Hwy, Talent, OR 97540 Phone: 541-535-5524 Fax: 541-535-5690
Bradshaw Physical Therapy & Wellness Center Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 223 Wintersage Cir Unit A, Talent, OR 97540 Phone: 541-482-3126 Fax: 541-482-0593
Roger B Bradshaw, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 223 Wintersage Cir Unit A, Talent, OR 97540 Phone: 541-482-3126 Fax: 541-482-0593

Dr Jack Gillingham, PT, DPT - Medicare Physical Therapist in Talent, OR