Jacob Lewis, DPT in San Antonio, TX - Medicare Physical Therapist Provider

Jacob Lewis, DPT is a medicare enrolled "Physical Therapist" provider in San Antonio, Texas. His current practice location is 14701 San Pedro Ave Ste 105, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 238-0353.

Jacob Lewis is licensed to practice in Texas (license number 1380183) 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 1265118913.

Contact Information

	Jacob Lewis, DPT
	14701 San Pedro Ave Ste 105, San Antonio, TX 78232-4312
	(210) 238-0353
	(210) 399-0383

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Lewis
Gender	Male
Speciality	Physical Therapist
Location	14701 San Pedro Ave Ste 105, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265118913
Provider Enumeration Date: 06/27/2023
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0840649851
Enrollment ID: I20231214003747

Medical Identifiers

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

Identifier	Type	State	Issuer
1265118913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1380183 (Texas)	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 Lewis allows following entities to bill medicare on his behalf.

Provider Name	Agilitas Usa Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20160425001328

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 Lewis 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 Lewis, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217	Jacob Lewis, DPT 14701 San Pedro Ave Ste 105, San Antonio, TX 78232-4312 Ph: (210) 238-0353

Reviews and Comments

Physical Therapist in San Antonio, TX

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Jacob Lewis, DPT - Medicare Physical Therapist in San Antonio, TX