Dr Jackson Thomas Pruett, PT, DPT - Medicare Physical Therapist in Fayetteville, NC

Dr Jackson Thomas Pruett, PT, DPT is a medicare enrolled "Physical Therapist" provider in Fayetteville, North Carolina. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Benchmark Physical Therapy Of North Carolina Llc and his current practice location is 5860 Yadkin Rd, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 491-5164.

Dr Jackson Thomas Pruett is licensed to practice in North Carolina (license number P19589) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013532498.

Contact Information

Dr Jackson Thomas Pruett, PT, DPT
5860 Yadkin Rd,
Fayetteville, NC 28303-2668
(910) 491-5164
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jackson Thomas Pruett
GenderMale
SpecialityPhysical Therapy
Experience5 Years
Location5860 Yadkin Rd, Fayetteville, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jackson Thomas Pruett graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1013532498
  • Provider Enumeration Date: 06/11/2020
  • Last Update Date: 06/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3577979301
  • Enrollment ID: I20210303000153

Medical Identifiers

Medical identifiers for Dr Jackson Thomas Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013532498NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist P19589 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Benchmark Physical Therapy Of North Carolina Llc1052609278153

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 Jackson Thomas Pruett allows following entities to bill medicare on his behalf.
Provider NameBenchmark Physical Therapy Of North Carolina Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1356894604
PECOS PAC ID: 1052609278
Enrollment ID: O20161004000926

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 Jackson Thomas Pruett 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 AddressPractice Location Address
Dr Jackson Thomas Pruett, PT, DPT
953 Butler Dr,
Erwin, NC 28339-8519

Ph: (919) 451-0212
Dr Jackson Thomas Pruett, PT, DPT
5860 Yadkin Rd,
Fayetteville, NC 28303-2668

Ph: (910) 491-5164

Reviews and Comments


Physical Therapist in Fayetteville, NC

Miss Roxanne King,
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Phone: 910-483-8331    Fax: 910-483-8335
Dale Anthony Gallo Jr., DPT
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Michael Andrew Slack, DPT
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Practice Location: 1712 Owen Dr, Fayetteville, NC 28304
Phone: 910-483-9300    Fax: 910-483-9302
Bridget Maley,
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Phone: 910-868-6000    
Matthew Gregory Prindle, DPT
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Practice Location: 3401 Village Dr Ste 101, Fayetteville, NC 28304
Phone: 910-483-9300    Fax: 910-483-9302
Casandra Heather Canterbury, PT
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Practice Location: 501 Executive Pl, Fayetteville, NC 28305
Phone: 910-423-5550    Fax: 910-423-5552

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.