Dr Jake Conly, PT, DPT in Bossier City, LA - Medicare Physical Therapist Provider

Dr Jake Conly, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bossier City, Louisiana. His current practice location is 5510 Airline Dr Ste 104, Bossier City, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 935-9075.

Dr Jake Conly is licensed to practice in Louisiana (license number 10888) 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 1710561915.

Contact Information

	Dr Jake Conly, PT, DPT
	5510 Airline Dr Ste 104, Bossier City, LA 71111-6728
	(318) 935-9075
	(318) 935-9076

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jake Conly
Gender	Male
Speciality	Physical Therapist
Location	5510 Airline Dr Ste 104, Bossier City, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710561915
Provider Enumeration Date: 05/12/2021
Last Update Date: 05/12/2021

Medicare PECOS Information:

PECOS PAC ID: 8224436662
Enrollment ID: I20211014002994

Medical Identifiers

Medical identifiers for Dr Jake Conly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710561915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	10888 (Louisiana)	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 Jake Conly allows following entities to bill medicare on his behalf.

Provider Name	Benton Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972013969 PECOS PAC ID: 2769740737 Enrollment ID: O20171220002369

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 Jake Conly 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 Jake Conly, PT, DPT Po Box 255, Stonewall, LA 71078-0255 Ph: (318) 470-3111	Dr Jake Conly, PT, DPT 5510 Airline Dr Ste 104, Bossier City, LA 71111-6728 Ph: (318) 935-9075

Reviews and Comments

Physical Therapist in Bossier City, LA

Mrs. Rachel Sibley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 668 Dumaine Dr, Bossier City, LA 71111 Phone: 318-470-5049
Wendy L Stephenson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2906 Plantation Dr, Bossier City, LA 71111 Phone: 318-746-5295 Fax: 318-746-5297
Prep Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5000 Benton Rd Ste 1, Bossier City, LA 71111 Phone: 318-218-6652
Dr. Chelsey Cotten, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4970 Barksdale Blvd Ste 900, Bossier City, LA 71112 Phone: 318-747-8892 Fax: 318-222-8893
Functional Capacity Experts, L.l.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1613 Jimmie Davis Hwy, Suite 400, Bossier City, LA 71112 Phone: 318-658-5800
Kate Doherty, P.T., D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2113 Airline Dr, #100, Bossier City, LA 71111 Phone: 318-519-3088
Jeffrey M Phillips, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2906 Plantation Dr, Bossier City, LA 71111 Phone: 318-746-5295 Fax: 318-746-5297

Dr Jake Conly, PT, DPT - Medicare Physical Therapist in Bossier City, LA