Jesselee Reyes Mata, BSPT in Glenwood, AR - Medicare Physical Therapist Provider

Jesselee Reyes Mata, BSPT is a medicare enrolled "Physical Therapist" provider in Glenwood, Arkansas. His current practice location is 2 Caddo Crossing Dr, Glenwood, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 356-4954.

Jesselee Reyes Mata is licensed to practice in Arkansas (license number 4267) 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 1326589631.

Contact Information

	Jesselee Reyes Mata, BSPT
	2 Caddo Crossing Dr, Glenwood, AR 71943-8882
	(870) 356-4954
	(870) 356-4956

Map and Direction

Healthcare Provider's Profile

Full Name	Jesselee Reyes Mata
Gender	Male
Speciality	Physical Therapist
Location	2 Caddo Crossing Dr, Glenwood, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326589631
Provider Enumeration Date: 03/20/2017
Last Update Date: 03/20/2017

Medicare PECOS Information:

PECOS PAC ID: 8628450129
Enrollment ID: I20220731000096

Medical Identifiers

Medical identifiers for Jesselee Reyes Mata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326589631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4267 (Arkansas)	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. Jesselee Reyes Mata allows following entities to bill medicare on his behalf.

Provider Name	Healing Hands Physical Therapy, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386140374 PECOS PAC ID: 3072877612 Enrollment ID: O20180507000428

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. Jesselee Reyes Mata 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
Jesselee Reyes Mata, BSPT 2675 Court Dr, Gastonia, NC 28054-1478 Ph: (704) 824-7800	Jesselee Reyes Mata, BSPT 2 Caddo Crossing Dr, Glenwood, AR 71943-8882 Ph: (870) 356-4954

Reviews and Comments

Physical Therapist in Glenwood, AR

Dalton Allan Steele, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Caddo Crossing Dr, Glenwood, AR 71943 Phone: 870-356-4954 Fax: 870-356-4956
Whytleigh Madicyn Barnes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Caddo Crossing Dr, Glenwood, AR 71943 Phone: 870-356-4954 Fax: 870-356-4956
Progressive Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 204 East Broadway, Glenwood, AR 71943 Phone: 870-681-1236
Comprehab, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Caddo Crossing Dr, Glenwood, AR 71943 Phone: 870-356-4954 Fax: 870-356-4956
Joshua R Glass, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Caddo Crossing Dr, Glenwood, AR 71943 Phone: 870-356-4954 Fax: 870-356-4956

Jesselee Reyes Mata, BSPT - Medicare Physical Therapist in Glenwood, AR