Jackson Preferred Rehab Llc is a
Physical Therapist based in Homer, Michigan. Jackson Preferred Rehab Llc is licensed to practice in Michigan (license number KK007396) and their current practice location is
119 W Main St, Homer, Michigan. It can be reached at their office (for appointments etc.) via phone at
(866) 568-3100.
NPI number for Jackson Preferred Rehab Llc is 1720265739 and their current mailing address is 119 W Main St, Homer, Michigan. Jackson Preferred Rehab Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1720265739.
Healthcare Provider's Profile
Full Name | Jackson Preferred Rehab Llc |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 119 W Main St, Homer, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720265739
- Provider Enumeration Date: 01/22/2008
- Last Update Date: 02/02/2009
Medical Identifiers
Medical identifiers for Jackson Preferred Rehab Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720265739 | NPI | - | NPPES |
650C807050 | Other | MI | BLUE CROSS |
KK007396 | Other | MI | LIC NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | KK007396 (Michigan) | 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. Jackson Preferred Rehab Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jackson Preferred Rehab Llc 119 W Main St, Homer, MI 49245-1023 Ph: (866) 568-3100 | Jackson Preferred Rehab Llc 119 W Main St, Homer, MI 49245-1023 Ph: (866) 568-3100 |
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