Jace Evan Sharp, DPT in Wagoner, OK - Medicare Physical Therapist Provider

Jace Evan Sharp, DPT is a medicare enrolled "Physical Therapist" provider in Wagoner, Oklahoma. His current practice location is 1200 W Cherokee St, Wagoner, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 485-1212.

Jace Evan Sharp is licensed to practice in Oklahoma (license number 4722) 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 1245662550.

Contact Information

	Jace Evan Sharp, DPT
	1200 W Cherokee St, Wagoner, OK 74467-4624
	(918) 485-1212
	(918) 485-1335

Map and Direction

Healthcare Provider's Profile

Full Name	Jace Evan Sharp
Gender	Male
Speciality	Physical Therapist
Location	1200 W Cherokee St, Wagoner, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245662550
Provider Enumeration Date: 08/08/2013
Last Update Date: 01/04/2016

Medicare PECOS Information:

PECOS PAC ID: 4385878610
Enrollment ID: I20130927000634

Medical Identifiers

Medical identifiers for Jace Evan Sharp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245662550	NPI	-	NPPES
200513580A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4722 (Oklahoma)	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. Jace Evan Sharp allows following entities to bill medicare on his behalf.

Provider Name	Wagoner Hospital Authority
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386611580 PECOS PAC ID: 0042217531 Enrollment ID: O20061214000095

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. Jace Evan Sharp 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
Jace Evan Sharp, DPT 1200 W Cherokee St, Wagoner, OK 74467-4624 Ph: (918) 485-1212	Jace Evan Sharp, DPT 1200 W Cherokee St, Wagoner, OK 74467-4624 Ph: (918) 485-1212

Reviews and Comments

Physical Therapist in Wagoner, OK

Rebecca Costello Shetlar, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 817 W Cherokee St, Wagoner, OK 74467 Phone: 812-628-3060
Jennifer Rae Murr, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 W Cherokee St, Wagoner, OK 74467 Phone: 918-485-3100 Fax: 918-485-3126
Bradley Edward Holland, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 W Cherokee St, Wagoner, OK 74467 Phone: 918-485-3100 Fax: 918-485-3126
Mr. Michael D Clark, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 W Cherokee St, Wagoner, OK 74467 Phone: 918-485-1323 Fax: 918-485-9486

Jace Evan Sharp, DPT - Medicare Physical Therapist in Wagoner, OK