Jacob Van Wart, DPT in Cheektowaga, NY - Medicare Physical Therapist Provider

Jacob Van Wart, DPT is a medicare enrolled "Physical Therapist" provider in Cheektowaga, New York. His current practice location is 2564 Walden Ave Ste 105, Cheektowaga, New York. You can reach out to his office (for appointments etc.) via phone at (716) 288-7427.

Jacob Van Wart is licensed to practice in New York (license number P122236) 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 1609553270.

Contact Information

	Jacob Van Wart, DPT
	2564 Walden Ave Ste 105, Cheektowaga, NY 14225-4759
	(716) 288-7427
	(716) 288-7425

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Van Wart
Gender	Male
Speciality	Physical Therapist
Location	2564 Walden Ave Ste 105, Cheektowaga, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609553270
Provider Enumeration Date: 07/05/2023
Last Update Date: 07/05/2023

Medicare PECOS Information:

PECOS PAC ID: 2769824507
Enrollment ID: I20240524002799

Medical Identifiers

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

Identifier	Type	State	Issuer
1609553270	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P122236 (New York)	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 Van Wart allows following entities to bill medicare on his behalf.

Provider Name	Leger Therapy Services Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659327666 PECOS PAC ID: 6406853415 Enrollment ID: O20220824002986

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 Van Wart 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 Van Wart, DPT 2564 Walden Ave Ste 105, Cheektowaga, NY 14225-4759 Ph: (716) 288-7427	Jacob Van Wart, DPT 2564 Walden Ave Ste 105, Cheektowaga, NY 14225-4759 Ph: (716) 288-7427

Reviews and Comments

Physical Therapist in Cheektowaga, NY

Marie Crawford, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3620 Harlem Rd Ste 2, Cheektowaga, NY 14215 Phone: 716-446-9500 Fax: 716-446-9501
Dr. Michael S Brogan, PT, DPT, PHD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2355 Union Rd, Cheektowaga, NY 14227 Phone: 716-825-1730
Christin M Fisher, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4635 Union Rd, Cheektowaga, NY 14225 Phone: 716-505-5700 Fax: 716-633-9351
Camillia J Mcklevis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4635 Union Rd, Cheektowaga, NY 14225 Phone: 716-505-5700 Fax: 716-633-9351
Tyler Whitaker, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 Community Dr, Cheektowaga, NY 14225 Phone: 716-505-5651
Amanda Lyn Moore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 777 Maryvale Dr, Cheektowaga, NY 14225 Phone: 716-631-9515
Samantha E Panfil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4635 Union Rd, Cheektowaga, NY 14225 Phone: 716-505-5700 Fax: 716-933-9351

Jacob Van Wart, DPT - Medicare Physical Therapist in Cheektowaga, NY