Jacob Matthew Anderson, DPT in Rock Island, IL - Medicare Physical Therapist Provider

Jacob Matthew Anderson, DPT is a medicare enrolled "Physical Therapist" provider in Rock Island, Illinois. His current practice location is 767 30th Street, Rock Island, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 788-7631.

Jacob Matthew Anderson is licensed to practice in Illinois (license number 070018144) 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 1184045031.

Contact Information

	Jacob Matthew Anderson, DPT
	767 30th Street, Rock Island, IL 61201
	(309) 788-7631
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Matthew Anderson
Gender	Male
Speciality	Physical Therapist
Location	767 30th Street, Rock Island, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184045031
Provider Enumeration Date: 12/19/2013
Last Update Date: 06/24/2014

Medicare PECOS Information:

PECOS PAC ID: 3870035470
Enrollment ID: I20240611002528

Medical Identifiers

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

Identifier	Type	State	Issuer
1184045031	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070018144 (Illinois)	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 Matthew Anderson allows following entities to bill medicare on his behalf.

Provider Name	At Home By Enhance Therapies Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124603246 PECOS PAC ID: 4183033210 Enrollment ID: O20220511002297

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 Matthew Anderson 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 Matthew Anderson, DPT 767 30th Street, Rock Island, IL 61201 Ph: (309) 788-7631	Jacob Matthew Anderson, DPT 767 30th Street, Rock Island, IL 61201 Ph: (309) 788-7631

Reviews and Comments

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Jacob Matthew Anderson, DPT - Medicare Physical Therapist in Rock Island, IL