Jaylan Isaiah Hibbard, DPT in Boise, ID - Medicare Physical Therapist Provider

Jaylan Isaiah Hibbard, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Boise, Idaho. His current practice location is 4776 N Five Mile Rd Ste 101, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 658-9500.

Jaylan Isaiah Hibbard is licensed to practice in Idaho (license number 8544) 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 1497439095.

Contact Information

	Jaylan Isaiah Hibbard, DPT
	4776 N Five Mile Rd Ste 101, Boise, ID 83713-2715
	(208) 658-9500
	(208) 658-9501

Map and Direction

Healthcare Provider's Profile

Full Name	Jaylan Isaiah Hibbard
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	4776 N Five Mile Rd Ste 101, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497439095
Provider Enumeration Date: 06/14/2023
Last Update Date: 06/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3678934932
Enrollment ID: I20230802003194

Medical Identifiers

Medical identifiers for Jaylan Isaiah Hibbard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497439095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	8544 (Idaho)	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. Jaylan Isaiah Hibbard allows following entities to bill medicare on his behalf.

Provider Name	Achieve Physical Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659540995 PECOS PAC ID: 8820177314 Enrollment ID: O20080508000757

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. Jaylan Isaiah Hibbard 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
Jaylan Isaiah Hibbard, DPT 4776 N Five Mile Rd Ste 101, Boise, ID 83713-2715 Ph: (208) 658-9500	Jaylan Isaiah Hibbard, DPT 4776 N Five Mile Rd Ste 101, Boise, ID 83713-2715 Ph: (208) 658-9500

Reviews and Comments

Physical Therapist in Boise, ID

Mrs. Dianne Denise Nelson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 Allumbaugh St, Boise, ID 83704 Phone: 208-854-8517
Peter H Kolb, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 N Curtis Rd Ste 204, Boise, ID 83706 Phone: 208-367-3315 Fax: 208-367-2674
Melissa Pirtle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 S Americana Blvd, Suite 130, Boise, ID 83702 Phone: 208-706-7530 Fax: 208-706-7531
Kyle Aaron Holbrook, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N Robbins Rd, Boise, ID 83702 Phone: 208-489-4444
Rebecca Wensel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2138
Bridget Gilbertson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2931 N Maywood Ave, Boise, ID 83704 Phone: 385-498-1740
Idaho Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1175 E Parkcenter Blvd, Ste 101, Boise, ID 83706 Phone: 208-367-1010

Jaylan Isaiah Hibbard, DPT - Medicare Physical Therapist in Boise, ID