Jessica Lynn Clark, PT in Jefferson City, MO - Medicare Physical Therapy Provider

Jessica Lynn Clark, PT is a medicare enrolled "Physical Therapist" provider in Jefferson City, Missouri. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Outbound Rehabilitation And Wellness Llc and her current practice location is 1705 Christy Dr, Suite 200, Jefferson City, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 659-5515.

Jessica Lynn Clark is licensed to practice in Missouri (license number 2012027636) 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 1063757003.

Contact Information

	Jessica Lynn Clark, PT
	1705 Christy Dr, Suite 200, Jefferson City, MO 65101-5195
	(573) 659-5515
	(573) 659-5516

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Lynn Clark
Gender	Female
Speciality	Physical Therapy
Experience	12 Years
Location	1705 Christy Dr, Jefferson City, Missouri
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 Lynn Clark graduated from medical school in 2012

NPI Data:

NPI Number: 1063757003
Provider Enumeration Date: 12/03/2012
Last Update Date: 12/03/2012

Medicare PECOS Information:

PECOS PAC ID: 5395997191
Enrollment ID: I20121130000088

Medical Identifiers

Medical identifiers for Jessica Lynn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063757003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2012027636 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Outbound Rehabilitation And Wellness Llc	1850543711	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 Lynn Clark allows following entities to bill medicare on her behalf.

Provider Name	Outbound Rehabilitation & Wellness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518234681 PECOS PAC ID: 1850543711 Enrollment ID: O20121129000162

Provider Name	Central Missouri Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1558436592 PECOS PAC ID: 6901870187 Enrollment ID: O20150915001876

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 Lynn Clark 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 Lynn Clark, PT 1705 Christy Dr, Suite 200, Jefferson City, MO 65101-5195 Ph: (573) 659-5515	Jessica Lynn Clark, PT 1705 Christy Dr, Suite 200, Jefferson City, MO 65101-5195 Ph: (573) 659-5515

Reviews and Comments

Physical Therapist in Jefferson City, MO

Mrs. Christie L Stockton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 Madison, Jefferson City, MO 65102 Phone: 573-632-5621
Mrs. Jennifer Jo Schnieders, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 222 Dalwhinne Waye, Jefferson City, MO 65101 Phone: 573-680-3178
Lacey Hale, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3308 W Edgewood Dr, Jefferson City, MO 65109 Phone: 573-638-3400
Mrs. Elizabeth A Farmer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1705 Christy Dr, Suite 200, Jefferson City, MO 65101 Phone: 573-659-5515 Fax: 573-659-5516
Breanna Kempker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 Fairgrounds Rd, Jefferson City, MO 65109 Phone: 573-634-3070
Mary Ann Daugherty, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1030 Edmonds St, Jefferson City, MO 65109 Phone: 615-896-6400
Mr. Brian A Hill, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1433 Christy Dr, Suite 3, Jefferson City, MO 65101 Phone: 573-632-6999 Fax: 573-636-6325

Jessica Lynn Clark, PT - Medicare Physical Therapist in Jefferson City, MO