Jackson Leal, PT, DPT in Southington, CT - Medicare Physical Therapist Provider

Jackson Leal, PT, DPT is a medicare enrolled "Physical Therapist" provider in Southington, Connecticut. His current practice location is 360 N Main St Ste 9, Southington, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 621-7389.

Jackson Leal is licensed to practice in Connecticut (license number 14244) 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 1265205918.

Contact Information

	Jackson Leal, PT, DPT
	360 N Main St Ste 9, Southington, CT 06489-2503
	(860) 621-7389
	(860) 621-2586

Map and Direction

Healthcare Provider's Profile

Full Name	Jackson Leal
Gender	Male
Speciality	Physical Therapist
Location	360 N Main St Ste 9, Southington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265205918
Provider Enumeration Date: 11/03/2023
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 0840647699
Enrollment ID: I20231115003266

Medical Identifiers

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

Identifier	Type	State	Issuer
1265205918	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	14244 (Connecticut)	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. Jackson Leal allows following entities to bill medicare on his behalf.

Provider Name	Ivyrehab Connecticut Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1265799365 PECOS PAC ID: 8325203649 Enrollment ID: O20120711000223

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 Leal 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 Leal, PT, DPT 360 N Main St Ste 9, Southington, CT 06489-2503 Ph: (860) 621-7389	Jackson Leal, PT, DPT 360 N Main St Ste 9, Southington, CT 06489-2503 Ph: (860) 621-7389

Reviews and Comments

Physical Therapist in Southington, CT

Michelle E Carli, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1131 West St, Southington, CT 06489 Phone: 860-621-3899
Renata A Zujewski, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 360 N Main St, Suite 9, Southington, CT 06489 Phone: 860-621-7389 Fax: 860-621-2586
F. Michael Joseph, PHD, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 18 S Center St, Southington, CT 06489 Phone: 860-621-5054 Fax: 860-620-0270
Patricia Jawor, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45 Meriden Ave, Southington, CT 06489 Phone: 860-621-9559
Mrs. Jodi Marie Kirk, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45 Meriden Ave, Southington Care Center, Rehab Dept, Southington, CT 06489 Phone: 860-378-1234
Mr. James Ferland, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 360-9 North Main Street, Community Physical Therapy, Southington, CT 06489 Phone: 860-621-7389 Fax: 860-621-2586
Mr. Matthew Maler, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1095 West St Ste 6, Southington, CT 06489 Phone: 860-621-3899 Fax: 860-621-0090

Jackson Leal, PT, DPT - Medicare Physical Therapist in Southington, CT