Jacob Kostelec, PT, DPT in Gainesville, GA - Medicare Physical Therapist Provider

Jacob Kostelec, PT, DPT is a medicare enrolled "Physical Therapist" provider in Gainesville, Georgia. His current practice location is 1640 Jesse Jewell Pkwy Ne, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 536-9300.

Jacob Kostelec is licensed to practice in Georgia (license number PT016615) 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 1558045062.

Contact Information

	Jacob Kostelec, PT, DPT
	1640 Jesse Jewell Pkwy Ne, Gainesville, GA 30501-2561
	(770) 536-9300
	(770) 536-9389

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Kostelec
Gender	Male
Speciality	Physical Therapist
Location	1640 Jesse Jewell Pkwy Ne, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558045062
Provider Enumeration Date: 06/14/2023
Last Update Date: 06/14/2023

Medicare PECOS Information:

PECOS PAC ID: 4486015799
Enrollment ID: I20230803000447

Medical Identifiers

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

Identifier	Type	State	Issuer
1558045062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT016615 (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 Kostelec allows following entities to bill medicare on his behalf.

Provider Name	Atlanta Rehabilitation And Performance Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982797494 PECOS PAC ID: 5890692917 Enrollment ID: O20060421000284

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 Kostelec 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 Kostelec, PT, DPT 2400 Wisteria Dr Ste A, Snellville, GA 30078-2689 Ph: (770) 980-0102	Jacob Kostelec, PT, DPT 1640 Jesse Jewell Pkwy Ne, Gainesville, GA 30501-2561 Ph: (770) 536-9300

Reviews and Comments

Physical Therapist in Gainesville, GA

Jessica Ariel Smith, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 597 S Enota Dr Ne, Gainesville, GA 30501 Phone: 770-219-8218
Mr. Edward Davis Ryan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1626 Hastings Ct, Gainesville, GA 30504 Phone: 678-936-0343 Fax: 678-450-6931
Mr. Lee Watkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8200 Fax: 770-219-3862
Dr. Nicholas Arceneaux, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 John Morrow Jr Pkwy, Suite 115-116, Gainesville, GA 30501 Phone: 678-862-0007
Sisu Of Georgia, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2360 Murphy Blvd, Gainesville, GA 30504 Phone: 770-535-8372 Fax: 770-535-0252
Tori Pou, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Spring St Se Ste 101, Gainesville, GA 30501 Phone: 770-615-7676
Warner Brock, P.T.,CMDT, MBA, CEAS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Spring St, Suite B, Gainesville, GA 30501 Phone: 770-532-5721 Fax: 770-532-5929

Jacob Kostelec, PT, DPT - Medicare Physical Therapist in Gainesville, GA