Jacob Carlson, in Augusta, GA - Medicare Physical Therapist Provider

Jacob Carlson, is a medicare enrolled "Physical Therapist" provider in Augusta, Georgia. His current practice location is 1220 W Wheeler Pkwy, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 721-8623.

Jacob Carlson is licensed to practice in Georgia (license number PT016751) 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 1710761069.

Contact Information

	Jacob Carlson,
	1220 W Wheeler Pkwy, Augusta, GA 30909-6625
	(706) 721-8623
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Carlson
Gender	Male
Speciality	Physical Therapist
Location	1220 W Wheeler Pkwy, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710761069
Provider Enumeration Date: 08/18/2023
Last Update Date: 08/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4981067527
Enrollment ID: I20230829003279

Medical Identifiers

Medical identifiers for Jacob Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710761069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT016751 (Georgia)	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. Jacob Carlson allows following entities to bill medicare on his behalf.

Provider Name	Au Medical Center, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437135902 PECOS PAC ID: 7618866229 Enrollment ID: O20040312000081

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. Jacob Carlson 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
Jacob Carlson, 332 Lucerne Ave, North Augusta, SC 29841-3656 Ph: (815) 666-7461	Jacob Carlson, 1220 W Wheeler Pkwy, Augusta, GA 30909-6625 Ph: (706) 721-8623

Reviews and Comments

Physical Therapist in Augusta, GA

Debra Beazley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1930 Highland Ave Ste A, Augusta, GA 30904 Phone: 706-481-9105
Mrs. Stacy Leigh Rush, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3650 J Dewey Gray Cir, Augusta, GA 30909 Phone: 706-863-9797 Fax: 706-860-7686
Mrs. Melissa Sue Williams, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 950 15th St, Augusta, GA 30901 Phone: 706-733-0188
Bryce Scott Boeke, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 254 Robert C Daniel Jr Pkwy Ste 4b, Augusta, GA 30909 Phone: 706-723-5795
Mrs. Deborah Bradley Mote, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2482
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 Broad St, Augusta, GA 30901 Phone: 479-201-2000
Mrs. Sarah Marsh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 724 Greene St, Augusta, GA 30901 Phone: 706-869-4501

Jacob Carlson, - Medicare Physical Therapist in Augusta, GA