Dr Mary Jill Jackson, PT, DPT in Pleasanton, CA - Medicare Physical Therapist Provider

Dr Mary Jill Jackson, PT, DPT is a medicare enrolled "Physical Therapist" provider in Pleasanton, California. Her current practice location is 5000 Hopyard Rd, 220, Pleasanton, California. You can reach out to her office (for appointments etc.) via phone at (800) 493-2988.

Dr Mary Jill Jackson is licensed to practice in California (license number 32473) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962620021.

Contact Information

	Dr Mary Jill Jackson, PT, DPT
	5000 Hopyard Rd, 220, Pleasanton, CA 94588-3348
	(800) 493-2988
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mary Jill Jackson
Gender	Female
Speciality	Physical Therapist
Location	5000 Hopyard Rd, Pleasanton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962620021
Provider Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2769799014
Enrollment ID: I20150918000269

Medical Identifiers

Medical identifiers for Dr Mary Jill Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962620021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	32473 (California)	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 Mary Jill Jackson allows following entities to bill medicare on her behalf.

Provider Name	Orthopaedic And Neurological Rehab Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20210111000182

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 Mary Jill Jackson 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 Mary Jill Jackson, PT, DPT 1546 Haviland Pl, Clayton, CA 94517-1049 Ph: (970) 222-5898	Dr Mary Jill Jackson, PT, DPT 5000 Hopyard Rd, 220, Pleasanton, CA 94588-3348 Ph: (800) 493-2988

Reviews and Comments

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Dr Mary Jill Jackson, PT, DPT - Medicare Physical Therapist in Pleasanton, CA