Jessica L Super, PT, DPT, CSCS in Palm Desert, CA - Medicare Physical Therapy Provider

Jessica L Super, PT, DPT, CSCS is a medicare enrolled "Physical Therapist" provider in Palm Desert, California. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Dynamic Physical Therapy And Sports Performance Inc and her current practice location is 44651 Village Ct Ste 120, Palm Desert, California. You can reach out to her office (for appointments etc.) via phone at (760) 501-6655.

Jessica L Super is licensed to practice in California (license number PT35434) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801036819.

Contact Information

	Jessica L Super, PT, DPT, CSCS
	44651 Village Ct Ste 120, Palm Desert, CA 92260-3823
	(760) 501-6655
	(760) 262-3773

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica L Super
Gender	Female
Speciality	Physical Therapy
Experience	16 Years
Location	44651 Village Ct Ste 120, Palm Desert, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessica L Super graduated from medical school in 2008

NPI Data:

NPI Number: 1801036819
Provider Enumeration Date: 03/03/2009
Last Update Date: 03/02/2016

Medicare PECOS Information:

PECOS PAC ID: 3678767472
Enrollment ID: I20101104001256

Medical Identifiers

Medical identifiers for Jessica L Super such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801036819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT35434 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dynamic Physical Therapy And Sports Performance Inc	5092004051	6

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 L Super allows following entities to bill medicare on her behalf.

Provider Name	Dynamic Physical Therapy And Sports Performance Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1770958670 PECOS PAC ID: 5092004051 Enrollment ID: O20160629000230

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 L Super 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
Jessica L Super, PT, DPT, CSCS 44651 Village Ct Ste 120, Palm Desert, CA 92260-3823 Ph: (760) 501-6655	Jessica L Super, PT, DPT, CSCS 44651 Village Ct Ste 120, Palm Desert, CA 92260-3823 Ph: (760) 501-6655

Reviews and Comments

Physical Therapist in Palm Desert, CA

California Rehabilitation & Sports Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 73345 Highway 111, Ste 103, Palm Desert, CA 92260 Phone: 760-340-1812 Fax: 760-340-1852
Isabella Smith, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 72880 Fred Waring Dr, Palm Desert, CA 92260 Phone: 760-340-4036 Fax: 760-340-4036
Alex Chujo, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 73221 Highway 111, Ste A, Palm Desert, CA 92260 Phone: 760-773-2179 Fax: 760-773-2810
Daniel John Keenan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 76931 Tricia Ln, Palm Desert, CA 92211 Phone: 760-799-6017
Dr. Sharon Neta Anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41505 Carlotta Dr, Palm Desert, CA 92211 Phone: 760-346-5420
Kimberly Jean Burton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 43875 Washington St Ste G, Palm Desert, CA 92211 Phone: 888-439-1295 Fax: 888-405-0638
Mrs. Therese Tudor, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 Phone: 760-345-2200 Fax: 760-345-2210

Jessica L Super, PT, DPT, CSCS - Medicare Physical Therapist in Palm Desert, CA