Jacob Dewulf, in Kennewick, WA - Medicare Physical Therapist Provider

Jacob Dewulf, is a medicare enrolled "Physical Therapist" provider in Kennewick, Washington. His current practice location is 4303 W 24th Ave # B, Kennewick, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 572-3836.

Jacob Dewulf is licensed to practice in * (Not Available) (license number ) 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 1295465425.

Contact Information

	Jacob Dewulf,
	4303 W 24th Ave # B, Kennewick, WA 99338-1963
	(509) 572-3836
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Dewulf
Gender	Male
Speciality	Physical Therapist
Location	4303 W 24th Ave # B, Kennewick, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295465425
Provider Enumeration Date: 06/11/2022
Last Update Date: 06/11/2022

Medicare PECOS Information:

PECOS PAC ID: 8325416837
Enrollment ID: I20221114003131

Medical Identifiers

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

Identifier	Type	State	Issuer
1295465425	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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 Dewulf allows following entities to bill medicare on his behalf.

Provider Name	Northwest Center For Sports Medicine & Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1982755070 PECOS PAC ID: 1759278542 Enrollment ID: O20150728005642

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 Dewulf 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 Dewulf, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () -	Jacob Dewulf, 4303 W 24th Ave # B, Kennewick, WA 99338-1963 Ph: (509) 572-3836

Reviews and Comments

Physical Therapist in Kennewick, WA

Terry Kelly Shultz, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1706 W 30th Ave, Kennewick, WA 99337 Phone: 509-582-0789
Jamie L Geris, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2839 W Kennewick Ave # 550, Kennewick, WA 99336 Phone: 509-783-8977 Fax: 509-783-6151
Randelle K Fuller, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 W 10th Ave, Kennewick, WA 99336 Phone: 509-582-6335 Fax: 509-582-6375
Ryan Mckinney, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2620 S. Williams Pl., Ste 110, Kennewick, WA 99338 Phone: 509-946-1654 Fax: 509-943-5652
Chad Blankenship, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8819 W Victoria Ave Ste 110, Kennewick, WA 99336 Phone: 509-783-1851
Dr. Jason L Hanson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 191 Reata Rd, Kennewick, WA 99338 Phone: 509-579-8812
Justin William Bingman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3810 Plaza Way, Kennewick, WA 99338 Phone: 509-221-7000

Jacob Dewulf, - Medicare Physical Therapist in Kennewick, WA