Jesse Fannon, DPT in Ann Arbor, MI - Medicare Physical Therapist Provider

Jesse Fannon, DPT is a medicare enrolled "Physical Therapist" provider in Ann Arbor, Michigan. Her current practice location is 3520 Green Ct Ste 150, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 239-8110.

Jesse Fannon is licensed to practice in Michigan (license number 5501303069) 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 1942051982.

Contact Information

	Jesse Fannon, DPT
	3520 Green Ct Ste 150, Ann Arbor, MI 48105-1595
	(734) 239-8110
	(734) 239-8111

Map and Direction

Healthcare Provider's Profile

Full Name	Jesse Fannon
Gender	Female
Speciality	Physical Therapist
Location	3520 Green Ct Ste 150, Ann Arbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942051982
Provider Enumeration Date: 03/28/2024
Last Update Date: 03/28/2024

Medicare PECOS Information:

PECOS PAC ID: 2365880499
Enrollment ID: I20240409000593

Medical Identifiers

Medical identifiers for Jesse Fannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942051982	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501303069 (Michigan)	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. Jesse Fannon allows following entities to bill medicare on her behalf.

Provider Name	Team Rehabilitation Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548932619 PECOS PAC ID: 2264479518 Enrollment ID: O20211027001883

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. Jesse Fannon 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
Jesse Fannon, DPT 33900 Harper Ave Ste 104, Clinton Township, MI 48035-4258 Ph: (586) 350-2644	Jesse Fannon, DPT 3520 Green Ct Ste 150, Ann Arbor, MI 48105-1595 Ph: (734) 239-8110

Reviews and Comments

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Jesse Fannon, DPT - Medicare Physical Therapist in Ann Arbor, MI