Jack Mcknight, PT, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Bend, Oregon. His current practice location is
19712 Poplar St, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at
(951) 537-4424.
Jack Mcknight is licensed to practice in Oregon (license number 62235) 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 1104296581.
Healthcare Provider's Profile
Full Name | Jack Mcknight |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 19712 Poplar St, Bend, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104296581
- Provider Enumeration Date: 09/29/2015
- Last Update Date: 03/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062712326
- Enrollment ID: I20180129001208
Medical Identifiers
Medical identifiers for Jack Mcknight such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104296581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT 43134 (California) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 62235 (Oregon) | Primary |
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. Jack Mcknight 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 |
Jack Mcknight, PT, DPT 19712 Poplar St, Bend, OR 97702-9036 Ph: (951) 537-4424 | Jack Mcknight, PT, DPT 19712 Poplar St, Bend, OR 97702-9036 Ph: (951) 537-4424 |
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