Jazmyn Coles-clarke, - Medicare Physical Therapist in Mount Laurel, NJ

Jazmyn Coles-clarke, is a medicare enrolled "Physical Therapist - Neurology" provider in Mount Laurel, New Jersey. Her current practice location is 523 Fellowship Rd Ste 290, Mount Laurel, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 424-5552.

Jazmyn Coles-clarke is licensed to practice in New Jersey (license number 40QA02179500) 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 1205512506.

Contact Information

Jazmyn Coles-clarke,
523 Fellowship Rd Ste 290,
Mount Laurel, NJ 08054-3418
(856) 424-5552
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJazmyn Coles-clarke
GenderFemale
SpecialityPhysical Therapist - Neurology
Location523 Fellowship Rd Ste 290, Mount Laurel, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205512506
  • Provider Enumeration Date: 06/22/2023
  • Last Update Date: 06/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082075650
  • Enrollment ID: I20230728001587

Medical Identifiers

Medical identifiers for Jazmyn Coles-clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205512506NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251N0400XPhysical Therapist - Neurology 40QA02179500 (New Jersey)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. Jazmyn Coles-clarke allows following entities to bill medicare on her behalf.
Provider NameIvyrehab Network Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1861623753
PECOS PAC ID: 3476539776
Enrollment ID: O20040628000865
Provider NameAmericare Physical Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1487872248
PECOS PAC ID: 8921105248
Enrollment ID: O20071108000661
Provider NameMultiple Sclerosis Specialty Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1124274501
PECOS PAC ID: 6901965300
Enrollment ID: O20090106000443

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. Jazmyn Coles-clarke 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 AddressPractice Location Address
Jazmyn Coles-clarke,
5105 N Park Dr Apt 1214,
Pennsauken, NJ 08109-4630

Ph: (646) 617-8242
Jazmyn Coles-clarke,
523 Fellowship Rd Ste 290,
Mount Laurel, NJ 08054-3418

Ph: (856) 424-5552

Reviews and Comments


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Medicare: Medicare Enrolled
Practice Location: 523 Fellowship Rd Ste 290, Mount Laurel, NJ 08054
Phone: 609-509-3445    Fax: 856-424-5559

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.