Jefferson David, in Santa Rosa, CA - Medicare Physical Therapy Provider

Jefferson David, is a medicare enrolled "Physical Therapist" provider in Santa Rosa, California. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Select Rehabilitation Llc and his current practice location is 300 Fountaingrove Pkwy, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 359-5005.

Jefferson David is licensed to practice in California (license number 295052) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699346957.

Contact Information

	Jefferson David,
	300 Fountaingrove Pkwy, Santa Rosa, CA 95403-5720
	(707) 359-5005
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jefferson David
Gender	Male
Speciality	Physical Therapy
Experience	17 Years
Location	300 Fountaingrove Pkwy, Santa Rosa, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jefferson David graduated from medical school in 2007

NPI Data:

NPI Number: 1699346957
Provider Enumeration Date: 07/08/2021
Last Update Date: 07/09/2021

Medicare PECOS Information:

PECOS PAC ID: 5395140404
Enrollment ID: I20220630000422

Medical Identifiers

Medical identifiers for Jefferson David such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699346957	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Secondary
225100000X	Physical Therapist	295052 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Select Rehabilitation Llc	9032020490	202

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. Jefferson David allows following entities to bill medicare on his behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942793534 PECOS PAC ID: 6507832573 Enrollment ID: O20190501002244

Provider Name	Select Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20220510000680

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. Jefferson David 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
Jefferson David, 34 Randall Ln Unit B, Santa Rosa, CA 95409-4117 Ph: () -	Jefferson David, 300 Fountaingrove Pkwy, Santa Rosa, CA 95403-5720 Ph: (707) 359-5005

Reviews and Comments

Physical Therapist in Santa Rosa, CA

Nicholas Pasadis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1400 N Dutton Ave Ste 1, Santa Rosa, CA 95401 Phone: 707-523-2848
Ms. Deborah Mary Stewart, BSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 181 Leisure Park Cir, Santa Rosa, CA 95401 Phone: 707-695-5008
Kurt Falkenberg, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, East Building, Suite 190, Santa Rosa, CA 95403 Phone: 707-571-3352
Patrick K Kam, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2798 Yulupa Ave, #1, Santa Rosa, CA 95405 Phone: 707-527-4001
Ms. Rhodan Vignaud, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3559 Round Barn Circle, Kaiser Permanente, Santa Rosa, CA 95403 Phone: 707-571-3921
Dr. Christina Leisen, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 532 Sonoma Ave Apt A, Santa Rosa, CA 95401 Phone: 707-217-9157
Jeffrey Peter Franceschi, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2448 Guerneville Rd, Suite 300, Santa Rosa, CA 95403 Phone: 707-573-8202 Fax: 707-573-8204

Jefferson David, - Medicare Physical Therapist in Santa Rosa, CA