Dr Jake Ley Gillis, DPT in Pembroke Pines, FL - Medicare Physical Therapist Provider

Dr Jake Ley Gillis, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Pembroke Pines, Florida. His current practice location is 17900 Nw 5th St Ste 102, Pembroke Pines, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 367-4000.

Dr Jake Ley Gillis is licensed to practice in Florida (license number 39611) 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 1053020842.

Contact Information

	Dr Jake Ley Gillis, DPT
	17900 Nw 5th St Ste 102, Pembroke Pines, FL 33029-2809
	(954) 367-4000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jake Ley Gillis
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	17900 Nw 5th St Ste 102, Pembroke Pines, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053020842
Provider Enumeration Date: 11/21/2022
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 8224408315
Enrollment ID: I20230106000179

Medical Identifiers

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

Identifier	Type	State	Issuer
1053020842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	39611 (Florida)	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 Ley Gillis allows following entities to bill medicare on his behalf.

Provider Name	Cleveland Clinic Florida (a Nonprofit Corporation)
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215989298 PECOS PAC ID: 7911807128 Enrollment ID: O20040113000394

Provider Name	Atlantic Rehabilitation Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003973967 PECOS PAC ID: 8527237247 Enrollment ID: O20110812000452

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 Ley Gillis 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 Ley Gillis, DPT 7230 Taft St, Hollywood, FL 33024-5430 Ph: (954) 907-3182	Dr Jake Ley Gillis, DPT 17900 Nw 5th St Ste 102, Pembroke Pines, FL 33029-2809 Ph: (954) 367-4000

Reviews and Comments

Physical Therapist in Pembroke Pines, FL

Amanda Cardenas, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17796 Sw 2nd St, Pembroke Pines, FL 33029 Phone: 954-438-7800
Monica Odalmis Gonzalez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16192 Nw 14th Ct, Pembroke Pines, FL 33028 Phone: 954-260-6428
Zanaba Goins, DR Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17796 Sw 2nd St, Pembroke Pines, FL 33029 Phone: 954-438-7800
Ms. Joan Hudson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17900 Nw 5th St, Suite 103, Pembroke Pines, FL 33029 Phone: 954-435-9905 Fax: 954-435-3769
Mrs. Lina Maria Peterson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10794 Pines Blvd, Pembroke Pines, FL 33026 Phone: 954-447-0296 Fax: 954-447-3131
Mr. Roberto Mcgrath, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17796 Sw 2nd St, Pembroke Pines, FL 33029 Phone: 954-438-7800
Justine Fradillada, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10261 Pines Blvd, Pembroke Pines, FL 33026 Phone: 954-356-2878

Dr Jake Ley Gillis, DPT - Medicare Physical Therapist in Pembroke Pines, FL