Dr Jesse Stallworth Smith, DPT in Nesconset, NY - Medicare Physical Therapist Provider

Dr Jesse Stallworth Smith, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Nesconset, New York. His current practice location is 176 Smithtown Blvd, Nesconset, New York. You can reach out to his office (for appointments etc.) via phone at (631) 979-5900.

Dr Jesse Stallworth Smith is licensed to practice in New York (license number 048805-01) 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 1902505910.

Contact Information

	Dr Jesse Stallworth Smith, DPT
	176 Smithtown Blvd, Nesconset, NY 11767-1859
	(631) 979-5900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jesse Stallworth Smith
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	176 Smithtown Blvd, Nesconset, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902505910
Provider Enumeration Date: 02/28/2023
Last Update Date: 02/28/2023

Medicare PECOS Information:

PECOS PAC ID: 6608220140
Enrollment ID: I20231002002674

Medical Identifiers

Medical identifiers for Dr Jesse Stallworth Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902505910	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	048805-01 (New York)	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 Jesse Stallworth Smith allows following entities to bill medicare on his behalf.

Provider Name	Island Sports Physical Therapy Of Smithtown, P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1639109770 PECOS PAC ID: 8325938319 Enrollment ID: O20040315001544

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 Jesse Stallworth Smith 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 Jesse Stallworth Smith, DPT 6 Cynthia Ct, East Setauket, NY 11733-2008 Ph: (631) 252-4385	Dr Jesse Stallworth Smith, DPT 176 Smithtown Blvd, Nesconset, NY 11767-1859 Ph: (631) 979-5900

Reviews and Comments

Physical Therapist in Nesconset, NY

Ms. Lisa Anne Grieco, PT DPT OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 267 Smithtown Blvd, Suite D, Nesconset, NY 11767 Phone: 631-724-5433 Fax: 631-724-5478
Patricia Agnes Benz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51 Midwood Ave., Nesconset, NY 11767 Phone: 631-366-1446
Lauretta Jane Sauer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Southern Blvd, Nesconset, NY 11767 Phone: 631-361-8800
Mr. Erwin Van Riel, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 197 Smithtown Blvd, Nesconset, NY 11767 Phone: 631-863-1290 Fax: 631-863-3090
Lorie Echerer-vanriel, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 197 Smithtown Blvd, Nesconset, NY 11767 Phone: 631-863-1290 Fax: 631-863-3090
T.l.c.physical Therapy,p.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 197 Smithtown Blvd, Nesconset, NY 11767 Phone: 631-863-1290 Fax: 631-863-3090
Jamie Mackey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Southern Blvd, Nesconset, NY 11767 Phone: 631-361-8800

Dr Jesse Stallworth Smith, DPT - Medicare Physical Therapist in Nesconset, NY