Jessica Ann Fonner, PT - Medicare Physical Therapist in Canton, OH

Jessica Ann Fonner, PT is a medicare enrolled "Physical Therapist" provider in Canton, Ohio. Her current practice location is 3927 38th St Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 493-0096.

Jessica Ann Fonner is licensed to practice in Ohio (license number PT8103) 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 1922572197.

Contact Information

Jessica Ann Fonner, PT
3927 38th St Nw,
Canton, OH 44718-2900
(330) 493-0096
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJessica Ann Fonner
GenderFemale
SpecialityPhysical Therapist
Location3927 38th St Nw, Canton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922572197
  • Provider Enumeration Date: 01/21/2019
  • Last Update Date: 01/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7911433925
  • Enrollment ID: I20241212004192

Medical Identifiers

Medical identifiers for Jessica Ann Fonner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922572197NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT8103 (Ohio)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. Jessica Ann Fonner allows following entities to bill medicare on her behalf.
Provider NameLegacy Healthcare Services Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1174153266
PECOS PAC ID: 2163339722
Enrollment ID: O20200304001327

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. Jessica Ann Fonner 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
Jessica Ann Fonner, PT
805 Hillcrest Ave Sw,
North Canton, OH 44720-2809

Ph: (330) 904-8697
Jessica Ann Fonner, PT
3927 38th St Nw,
Canton, OH 44718-2900

Ph: (330) 493-0096

Reviews and Comments


Physical Therapist in Canton, OH

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Medicare: Accepting Medicare Assignments
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Phone: 330-493-4210    Fax: 330-493-4744
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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.