Jackson Smith, DPT in Southfield, MI - Medicare Physical Therapist Provider

Jackson Smith, DPT is a medicare enrolled "Physical Therapist" provider in Southfield, Michigan. His current practice location is 29121 Northwestern Hwy Ste A, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 599-1166.

Jackson Smith is licensed to practice in Michigan (license number 5501302079) 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 1700583374.

Contact Information

	Jackson Smith, DPT
	29121 Northwestern Hwy Ste A, Southfield, MI 48034-5705
	(248) 599-1166
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jackson Smith
Gender	Male
Speciality	Physical Therapist
Location	29121 Northwestern Hwy Ste A, Southfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700583374
Provider Enumeration Date: 02/14/2023
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 0446623177
Enrollment ID: I20230228002893

Medical Identifiers

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

Identifier	Type	State	Issuer
1700583374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501302079 (Michigan)	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 Smith allows following entities to bill medicare on his behalf.

Provider Name	Krs Of Clawson Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194840223 PECOS PAC ID: 2163527276 Enrollment ID: O20070418000548

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 Smith 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 Smith, DPT 1773 Star Batt Dr, Rochester Hills, MI 48309-3708 Ph: () -	Jackson Smith, DPT 29121 Northwestern Hwy Ste A, Southfield, MI 48034-5705 Ph: (248) 599-1166

Reviews and Comments

Physical Therapist in Southfield, MI

Ashtiaq Khokhar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-304-1100
Thomas Chung, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 26025 Lahser Rd, Southfield, MI 48033 Phone: 248-663-1910 Fax: 248-849-0190
Briana Keller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23800 W 10 Mile Rd Ste 193, Southfield, MI 48033 Phone: 248-827-1100 Fax: 248-827-1120
Paige Robinson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 23800 W 10 Mile Rd Ste 193, Southfield, MI 48033 Phone: 248-827-1100 Fax: 248-827-1120
Toms K Mathew, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28309 Franklin Rd, Southfield, MI 48034 Phone: 248-208-6100 Fax: 248-208-6119
Jaspal Kaur, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24681 Northwestern Hwy, Sut 103, Southfield, MI 48075 Phone: 248-809-9360
Lahser Medical Campus Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27207 Lahser Rd Ste 106, Southfield, MI 48034 Phone: 248-948-9448

Jackson Smith, DPT - Medicare Physical Therapist in Southfield, MI