Jaison Sebastian, DOCTORATE is a medicare enrolled "Physical Therapist" provider in Brookhaven, Pennsylvania. His current practice location is
3605 Edgmont Ave, Brookhaven, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 876-6180.
Jaison Sebastian is licensed to practice in Pennsylvania (license number PT026884) 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 1184102337.
Healthcare Provider's Profile
Full Name | Jaison Sebastian |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 3605 Edgmont Ave, Brookhaven, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184102337
- Provider Enumeration Date: 07/31/2018
- Last Update Date: 12/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 3274886254
- Enrollment ID: I20181020000402
Medical Identifiers
Medical identifiers for Jaison Sebastian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184102337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT026884 (Pennsylvania) | 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. Jaison Sebastian allows following entities to bill medicare on his behalf.
Provider Name | Mind & Body Fitness, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1487785978 PECOS PAC ID: 0840275715 Enrollment ID: O20050317000582 |
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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. Jaison Sebastian 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 |
Jaison Sebastian, DOCTORATE 644 Grand Ave, Havertown, PA 19083-3224 Ph: (484) 321-1395 | Jaison Sebastian, DOCTORATE 3605 Edgmont Ave, Brookhaven, PA 19015-2862 Ph: (610) 876-6180 |
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