Dr. Katie Jackson's Wound, Ostomy And Footcare is a medicare enrolled "Physical Therapist" provider in Rutland, Massachusetts. Their current practice location is
179 Glenwood Rd, Rutland, Massachusetts. You can reach out to their office (for appointments etc.) via phone at
(978) 821-0842.
Dr. Katie Jackson's Wound, Ostomy And Footcare is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Dr. Katie Jackson's Wound, Ostomy And Footcare
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003511908.
Healthcare Provider's Profile
Full Name | Dr. Katie Jackson's Wound, Ostomy And Footcare |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 179 Glenwood Rd, Rutland, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003511908
- Provider Enumeration Date: 04/03/2023
- Last Update Date: 04/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618333154
- Enrollment ID: O20230525001402
Medical Identifiers
Medical identifiers for Dr. Katie Jackson's Wound, Ostomy And Footcare such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003511908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
2251E1300X | Physical Therapist - Electrophysiology, Clinical | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dr. Katie Jackson's Wound, Ostomy And Footcare acts as a billing entity for following providers:
Provider Name | Katie Jackson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1619288495 PECOS PAC ID: 8527424068 Enrollment ID: I20230525003112 |
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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. Katie Jackson's Wound, Ostomy And Footcare 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. Katie Jackson's Wound, Ostomy And Footcare 16 Woodland Dr, Westminster, MA 01473-1132 Ph: (978) 821-0842 | Dr. Katie Jackson's Wound, Ostomy And Footcare 179 Glenwood Rd, Rutland, MA 01543-1614 Ph: (978) 821-0842 |
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