Dr Jacob Wayne Sharp, DPT is a medicare enrolled "Physical Therapist" provider in Lee, Illinois. His current practice location is
211 W Hardanger Gate, Lee, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 337-0897.
Dr Jacob Wayne Sharp is licensed to practice in Illinois (license number 070026829) 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 1033870092.
Healthcare Provider's Profile
| Full Name | Dr Jacob Wayne Sharp |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 211 W Hardanger Gate, Lee, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033870092
- Provider Enumeration Date: 01/03/2022
- Last Update Date: 09/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193170090
- Enrollment ID: I20231012002717
Medical Identifiers
Medical identifiers for Dr Jacob Wayne Sharp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033870092 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 116231 (Iowa) | Secondary |
| 225100000X | Physical Therapist | 207911 (Alaska) | Secondary |
| 225200000X | Physical Therapy Assistant | 160006878 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 070026829 (Illinois) | 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 Wayne Sharp allows following entities to bill medicare on his behalf.
| Provider Name | Optimum Health And Wellness Physical Therapy Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1649577578
PECOS PAC ID: 3870775604
Enrollment ID: O20110315000559 |
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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 Wayne Sharp 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 Wayne Sharp, DPT
211 W Hardanger Gate,
Lee, IL 60530-9720
Ph: (309) 337-0897 | Dr Jacob Wayne Sharp, DPT
211 W Hardanger Gate,
Lee, IL 60530-9720
Ph: (309) 337-0897 |
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