Jacob Chase Kanaby, DPT in South Bend, IN - Medicare Physical Therapist Provider

Jacob Chase Kanaby, DPT is a medicare enrolled "Physical Therapist" provider in South Bend, Indiana. His current practice location is 53880 Carmichael Dr, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 247-9441.

Jacob Chase Kanaby is licensed to practice in Indiana (license number 05015554A) 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 1508615964.

Contact Information

	Jacob Chase Kanaby, DPT
	53880 Carmichael Dr, South Bend, IN 46635-1567
	(574) 247-9441
	(574) 247-9442

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Chase Kanaby
Gender	Male
Speciality	Physical Therapist
Location	53880 Carmichael Dr, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508615964
Provider Enumeration Date: 05/16/2024
Last Update Date: 06/20/2024

Medicare PECOS Information:

PECOS PAC ID: 2668814468
Enrollment ID: I20240524001238

Medical Identifiers

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

Identifier	Type	State	Issuer
1508615964	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05015554A (Indiana)	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 Chase Kanaby allows following entities to bill medicare on his behalf.

Provider Name	Central Indiana Orthopedics Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063422137 PECOS PAC ID: 5698667822 Enrollment ID: O20040325000156

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 Chase Kanaby 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 Chase Kanaby, DPT 3600 W Bethel Ave, Muncie, IN 47304-5407 Ph: () -	Jacob Chase Kanaby, DPT 53880 Carmichael Dr, South Bend, IN 46635-1567 Ph: (574) 247-9441

Reviews and Comments

Physical Therapist in South Bend, IN

Nicholas Bugbee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1005 N Hickory Rd, South Bend, IN 46615 Phone: 574-233-5754
Corie R Butcher, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 411 E Ireland Rd Ste 400, South Bend, IN 46614 Phone: 574-231-8950 Fax: 574-231-8955
Kathryn Blum, D.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1005 N Hickory Rd, South Bend, IN 46615 Phone: 574-233-5754
Jessica A. Preissing, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442
Kathryn L. Werda, MSPT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Suite 430, South Bend, IN 46635 Phone: 574-968-8251 Fax: 574-968-2855
John Mihay, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441
Mr. Walter Joy Manit, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52654 Ironwood Rd, South Bend, IN 46635 Phone: 574-277-8710

Jacob Chase Kanaby, DPT - Medicare Physical Therapist in South Bend, IN