Dr Jacob Lawrence Centra, PT, DPT, CSCS in Columbia, MD - Medicare Physical Therapist Provider

Dr Jacob Lawrence Centra, PT, DPT, CSCS is a medicare enrolled "Physical Therapist" provider in Columbia, Maryland. His current practice location is 10840 Little Patuxent Pkwy Ste 105, Columbia, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 730-2028.

Dr Jacob Lawrence Centra is licensed to practice in Maryland (license number 27852) 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 1477185106.

Contact Information

	Dr Jacob Lawrence Centra, PT, DPT, CSCS
	10840 Little Patuxent Pkwy Ste 105, Columbia, MD 21044-3254
	(410) 730-2028
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacob Lawrence Centra
Gender	Male
Speciality	Physical Therapist
Location	10840 Little Patuxent Pkwy Ste 105, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477185106
Provider Enumeration Date: 02/11/2020
Last Update Date: 02/11/2020

Medicare PECOS Information:

PECOS PAC ID: 8325475767
Enrollment ID: I20200225002264

Medical Identifiers

Medical identifiers for Dr Jacob Lawrence Centra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477185106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	27852 (Maryland)	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 Jacob Lawrence Centra allows following entities to bill medicare on his behalf.

Provider Name	Merion Square Road Medical Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942923123 PECOS PAC ID: 0446605422 Enrollment ID: O20231128002371

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 Jacob Lawrence Centra 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 Jacob Lawrence Centra, PT, DPT, CSCS 468 Glen Mar Rd Apt B4, Glen Burnie, MD 21061-7074 Ph: () -	Dr Jacob Lawrence Centra, PT, DPT, CSCS 10840 Little Patuxent Pkwy Ste 105, Columbia, MD 21044-3254 Ph: (410) 730-2028

Reviews and Comments

Physical Therapist in Columbia, MD

Susannah Lynn Coover, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8885 Centre Park Dr Ste G, Columbia, MD 21045 Phone: 410-730-1275
Mrs. Sandra L Woods, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5500 Knoll North Dr Ste 150, Columbia, MD 21045 Phone: 443-542-0062
Laura Flynn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11085 Little Patuxent Pkwy, Suite 207, Columbia, MD 21044 Phone: 410-884-4111 Fax: 410-884-4113
Ryan Bibeau, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 8895 Mcgaw Rd Ste G, Columbia, MD 21045 Phone: 443-441-0616
Caitlin Elaine Kratz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5435 Beaverkill Rd, Columbia, MD 21044 Phone: 410-740-0883 Fax: 410-740-9970
Loretta Anne Merl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10632 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 410-740-0300
Lily Wei, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5435 Beaverkill Rd, Columbia, MD 21044 Phone: 410-740-0883 Fax: 410-740-9970

Dr Jacob Lawrence Centra, PT, DPT, CSCS - Medicare Physical Therapist in Columbia, MD