Jackson David Clouse, in Milan, TN - Medicare Physical Therapy Provider

Jackson David Clouse, is a medicare enrolled "Physical Therapist" provider in Milan, Tennessee. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Dynamix Physical Therapy Llc and his current practice location is 2060 Rhino Crossing, Milan, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 613-2214.

Jackson David Clouse is licensed to practice in Tennessee (license number 12254) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003478181.

Contact Information

	Jackson David Clouse,
	2060 Rhino Crossing, Milan, TN 38358
	(731) 613-2214
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jackson David Clouse
Gender	Male
Speciality	Physical Therapy
Experience	5 Years
Location	2060 Rhino Crossing, Milan, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jackson David Clouse graduated from medical school in 2019

NPI Data:

NPI Number: 1003478181
Provider Enumeration Date: 06/28/2019
Last Update Date: 06/28/2019

Medicare PECOS Information:

PECOS PAC ID: 3476881848
Enrollment ID: I20190822002730

Medical Identifiers

Medical identifiers for Jackson David Clouse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003478181	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12254 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dynamix Physical Therapy Llc	5193873933	41

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. Jackson David Clouse allows following entities to bill medicare on his behalf.

Provider Name	Dynamix Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669619268 PECOS PAC ID: 5193873933 Enrollment ID: O20090504000677

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. Jackson David Clouse 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
Jackson David Clouse, Po Box 1004, Milan, TN 38358-1004 Ph: (731) 613-2214	Jackson David Clouse, 2060 Rhino Crossing, Milan, TN 38358 Ph: (731) 613-2214

Reviews and Comments

Physical Therapist in Milan, TN

Adam Clark, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6070 S 1st St Ste D, Milan, TN 38358 Phone: 731-613-2214 Fax: 731-613-2215
Dr. Howell Scott Holmes Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2047 Kefauver Dr Ste B, Milan, TN 38358 Phone: 731-238-1181 Fax: 731-300-2350
Kendra G Smith, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2060 Rhino Xing, Milan, TN 38358 Phone: 731-613-2214
Kelly Harris Anderson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6070 S 1st St Ste D, Milan, TN 38358 Phone: 731-613-2214 Fax: 731-613-2215
Peyton Prescott, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2060 Rhino Xing, Milan, TN 38358 Phone: 731-613-2214
Dr. Taylor Ann Skelton Crouse, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2060 Rhino Crossing, Milan, TN 38358 Phone: 731-613-2214 Fax: 731-612-2215

Jackson David Clouse, - Medicare Physical Therapist in Milan, TN