Jacob Matthew Pettit, DPT in Blackfoot, ID - Medicare Physical Therapist Provider

Jacob Matthew Pettit, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Blackfoot, Idaho. His current practice location is 1250 W Bridge St, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 785-8018.

Jacob Matthew Pettit is licensed to practice in Idaho (license number PT-8007) 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 1437888062.

Contact Information

	Jacob Matthew Pettit, DPT
	1250 W Bridge St, Blackfoot, ID 83221-5095
	(208) 785-8018
	(208) 785-3332

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Matthew Pettit
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	1250 W Bridge St, Blackfoot, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437888062
Provider Enumeration Date: 06/08/2022
Last Update Date: 06/08/2022

Medicare PECOS Information:

PECOS PAC ID: 0345625331
Enrollment ID: I20220912001352

Medical Identifiers

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

Identifier	Type	State	Issuer
1437888062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT-8007 (Idaho)	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 Pettit allows following entities to bill medicare on his behalf.

Provider Name	Barnes Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548524440 PECOS PAC ID: 5092964809 Enrollment ID: O20121010000410

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 Pettit 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 Pettit, DPT 313 Park Ave, Pocatello, ID 83201-4506 Ph: () -	Jacob Matthew Pettit, DPT 1250 W Bridge St, Blackfoot, ID 83221-5095 Ph: (208) 785-8018

Reviews and Comments

Physical Therapist in Blackfoot, ID

Tyce Alden Stewart, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 Fax: 208-782-1885
Bryan J. Gibby, MSPT, CWS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1492 Christensen Dr, Blackfoot, ID 83221 Phone: 208-240-7221
Jessica Annelaine Vandyke, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 282 W Bridge St, Blackfoot, ID 83221 Phone: 208-684-0021
Brian Don Boehme, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600
Pete Richar Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 131 N Oak St, Blackfoot, ID 83221 Phone: 208-684-2444
Mr. Dustin Cade Schmitt, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123
Jonathan Dac-moang Liem, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1441 Parkway Dr Ste 1, Blackfoot, ID 83221 Phone: 208-785-3446 Fax: 208-980-7241

Jacob Matthew Pettit, DPT - Medicare Physical Therapist in Blackfoot, ID