Jacqualynn Scot Gordon, PT, DPT in Solana Beach, CA - Medicare Physical Therapist Provider

Jacqualynn Scot Gordon, PT, DPT is a medicare enrolled "Physical Therapist" provider in Solana Beach, California. Her current practice location is 380 Stevens Ave Ste 314, Solana Beach, California. You can reach out to her office (for appointments etc.) via phone at (858) 755-5200.

Jacqualynn Scot Gordon is licensed to practice in California (license number 295905) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629547062.

Contact Information

	Jacqualynn Scot Gordon, PT, DPT
	380 Stevens Ave Ste 314, Solana Beach, CA 92075-2069
	(858) 755-5200
	(858) 755-5201

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqualynn Scot Gordon
Gender	Female
Speciality	Physical Therapist
Location	380 Stevens Ave Ste 314, Solana Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629547062
Provider Enumeration Date: 11/15/2018
Last Update Date: 11/15/2018

Medicare PECOS Information:

PECOS PAC ID: 3375881329
Enrollment ID: I20190217000000

Medical Identifiers

Medical identifiers for Jacqualynn Scot Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629547062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	295905 (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. Jacqualynn Scot Gordon allows following entities to bill medicare on her behalf.

Provider Name	California Luna Care Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123

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. Jacqualynn Scot Gordon 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
Jacqualynn Scot Gordon, PT, DPT 380 Stevens Ave Ste 314, Solana Beach, CA 92075-2069 Ph: (858) 755-5200	Jacqualynn Scot Gordon, PT, DPT 380 Stevens Ave Ste 314, Solana Beach, CA 92075-2069 Ph: (858) 755-5200

Reviews and Comments

Physical Therapist in Solana Beach, CA

Kate Rose Clarke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 174 Del Mar Shores Ter, Solana Beach, CA 92075 Phone: 858-999-1663
Rachel Nesseth Litchfield, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 380 Stevens Ave, Suite 314, Solana Beach, CA 92075 Phone: 858-755-5200 Fax: 858-755-5201
Dr. Melissa Schulz, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 981 Lomas Santa Fe Dr, Solana Beach, CA 92075 Phone: 858-794-9995
Mr. Andrew Charles Doell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 265 Santa Helena Ste 110, Solana Beach, CA 92075 Phone: 858-304-0886 Fax: 858-210-6372
Rachel Sara Gackstetter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Lomas Santa Fe Dr Ste G, Solana Beach, CA 92075 Phone: 858-755-6024 Fax: 858-755-6377
Silver Strand Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 380 Stevens Ave, Suite 314, Solana Beach, CA 92075 Phone: 858-755-5200 Fax: 858-755-5201
Ilah Cavanaugh Welch, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 722 Genevieve St Ste S, Solana Beach, CA 92075 Phone: 858-848-6639 Fax: 844-231-8868

Jacqualynn Scot Gordon, PT, DPT - Medicare Physical Therapist in Solana Beach, CA