Jake Puckett, PT, DPT in La Grange, KY - Medicare Physical Therapist Provider

Jake Puckett, PT, DPT is a medicare enrolled "Physical Therapist" provider in La Grange, Kentucky. His current practice location is 1212 Market St, La Grange, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 225-9981.

Jake Puckett is licensed to practice in Kentucky (license number 008866) 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 1700568375.

Contact Information

	Jake Puckett, PT, DPT
	1212 Market St, La Grange, KY 40031-7986
	(502) 225-9981
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jake Puckett
Gender	Male
Speciality	Physical Therapist
Location	1212 Market St, La Grange, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700568375
Provider Enumeration Date: 08/03/2023
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 2264895846
Enrollment ID: I20230830000472

Medical Identifiers

Medical identifiers for Jake Puckett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700568375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	008866 (Kentucky)	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. Jake Puckett allows following entities to bill medicare on his behalf.

Provider Name	Sn Kentuckiana Rehab Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1609349018 PECOS PAC ID: 1254671464 Enrollment ID: O20190326002841

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. Jake Puckett 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
Jake Puckett, PT, DPT 1212 Market St, La Grange, KY 40031-7986 Ph: (502) 225-9981	Jake Puckett, PT, DPT 1212 Market St, La Grange, KY 40031-7986 Ph: (502) 225-9981

Reviews and Comments

Physical Therapist in La Grange, KY

Tackett Physical Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 W Madison St, La Grange, KY 40031 Phone: 606-207-5248
Cassidy Nicole Raibert, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-864-6695
Dr. Levi Ray Bristow, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2612 Sunningdale Pl W, La Grange, KY 40031 Phone: 502-759-2879
Julie Nicole Sergent, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2801 Heather Green Blvd, La Grange, KY 40031 Phone: 502-802-0156
Garret Scaman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1407 E Crystal Dr Ste E, La Grange, KY 40031 Phone: 502-222-0280 Fax: 502-222-0290
Amro Moadi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-864-6695 Fax: 888-830-3233
Megan Elizabeth Sullivan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1407 E Crystal Dr Ste E, La Grange, KY 40031 Phone: 502-222-0280 Fax: 502-222-0290

Jake Puckett, PT, DPT - Medicare Physical Therapist in La Grange, KY