Jacob T Ogden, in Mission Viejo, CA - Medicare Physical Therapist Provider

Jacob T Ogden, is a medicare enrolled "Physical Therapist" provider in Mission Viejo, California. His current practice location is 26522 La Alameda Suite 100, Mission Viejo, California. You can reach out to his office (for appointments etc.) via phone at (949) 582-2555.

Jacob T Ogden is licensed to practice in California (license number 306476) 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 1891525093.

Contact Information

	Jacob T Ogden,
	26522 La Alameda Suite 100, Mission Viejo, CA 92691-8579
	(949) 582-2555
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob T Ogden
Gender	Male
Speciality	Physical Therapist
Location	26522 La Alameda Suite 100, Mission Viejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891525093
Provider Enumeration Date: 08/03/2024
Last Update Date: 08/03/2024

Medicare PECOS Information:

PECOS PAC ID: 8426597816
Enrollment ID: I20240829001690

Medical Identifiers

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

Identifier	Type	State	Issuer
1891525093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	306476 (California)	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 T Ogden allows following entities to bill medicare on his behalf.

Provider Name	Proactive Physical Therapy & Sports Medicine Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1285729509 PECOS PAC ID: 1557369436 Enrollment ID: O20061201000533

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 T Ogden 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 T Ogden, 26522 La Alameda Ste 100, Mission Viejo, CA 92691-8579 Ph: () -	Jacob T Ogden, 26522 La Alameda Suite 100, Mission Viejo, CA 92691-8579 Ph: (949) 582-2555

Reviews and Comments

Physical Therapist in Mission Viejo, CA

Carlos Alfredo Lavayen, DPT ECS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26691 Plaza Drive Ste 205, Mission Viejo, CA 92691 Phone: 949-367-1088 Fax: 949-367-1042
Petra S Place, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25982 Pala, Suite 230, Mission Viejo, CA 92691 Phone: 949-600-8812
Brian Gregory Boone, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27401 Los Altos, Suite 485, Mission Viejo, CA 92691 Phone: 949-716-3930
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25565 Jeronimo Rd, Mission Viejo, CA 92691 Phone: 949-627-8800 Fax: 949-627-8801
Jazmin Kan, PT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25565 Jeronimo Rd, Mission Viejo, CA 92691 Phone: 949-627-8800
Edward Joseph Kearns Iii, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26561 Aracena Dr, Mission Viejo, CA 92691 Phone: 302-388-3067
Mrs. Laurie Layton Boulware, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26921 Crown Valley Pkwy, Suite 120, Mission Viejo, CA 92691 Phone: 949-582-2555

Jacob T Ogden, - Medicare Physical Therapist in Mission Viejo, CA