Dr Nicole R Jackson, DPT in Brentwood, MO - Medicare Physical Therapist Provider

Dr Nicole R Jackson, DPT is a medicare enrolled "Physical Therapist" provider in Brentwood, Missouri. Her current practice location is 1335 Strassner Dr, Brentwood, Missouri. You can reach out to her office (for appointments etc.) via phone at (313) 289-0178.

Dr Nicole R Jackson is licensed to practice in Virginia (license number 2305205164) 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 1033972104.

Contact Information

	Dr Nicole R Jackson, DPT
	1335 Strassner Dr, Brentwood, MO 63144-1872
	(313) 289-0178
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole R Jackson
Gender	Female
Speciality	Physical Therapist
Location	1335 Strassner Dr, Brentwood, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033972104
Provider Enumeration Date: 02/01/2024
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 9931543360
Enrollment ID: I20240214000040

Medical Identifiers

Medical identifiers for Dr Nicole R Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033972104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305205164 (Virginia)	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 Nicole R Jackson allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1881366730 PECOS PAC ID: 2769723162 Enrollment ID: O20211019001479

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 Nicole R 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 Nicole R Jackson, DPT 1335 Strassner Dr, Brentwood, MO 63144-1872 Ph: () -	Dr Nicole R Jackson, DPT 1335 Strassner Dr, Brentwood, MO 63144-1872 Ph: (313) 289-0178

Reviews and Comments

Physical Therapist in Brentwood, MO

Margaret E Braida, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147
Jacqueline D Schranck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2937 S Brentwood Blvd, Suite 105, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147
Whitney Korgan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2726 Bremerton Rd, Brentwood, MO 63144 Phone: 636-515-3859
Mr. Brian Michael Graf, PT ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147
Kamrun N Alam, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8228 Brentwood Industrial Dr, Brentwood, MO 63144 Phone: 314-218-8966 Fax: 314-781-3448
Holly M Banark, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144 Phone: 314-961-3804 Fax: 314-961-1147

Dr Nicole R Jackson, DPT - Medicare Physical Therapist in Brentwood, MO