Jett Eclipse, in Port Orange, FL - Medicare Physical Therapist Provider

Jett Eclipse, is a medicare enrolled "Physical Therapist" provider in Port Orange, Florida. His current practice location is 5535 S Williamson Blvd, Suite 774, Port Orange, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 944-7202.

Jett Eclipse is licensed to practice in Indiana (license number 05009240A) 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 1881988459.

Contact Information

	Jett Eclipse,
	5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128-8311
	(386) 944-7202
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jett Eclipse
Gender	Male
Speciality	Physical Therapist
Location	5535 S Williamson Blvd, Port Orange, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881988459
Provider Enumeration Date: 06/01/2011
Last Update Date: 06/01/2011

Medicare PECOS Information:

PECOS PAC ID: 1153700257
Enrollment ID: I20220621001127

Medical Identifiers

Medical identifiers for Jett Eclipse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881988459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05009240A (Indiana)	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. Jett Eclipse allows following entities to bill medicare on his behalf.

Provider Name	Cortlyn Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1235725730 PECOS PAC ID: 8729495684 Enrollment ID: O20210813001842

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. Jett Eclipse 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
Jett Eclipse, 10539 Patoka Rd, Indianapolis, IN 46239-9262 Ph: (812) 719-5994	Jett Eclipse, 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128-8311 Ph: (386) 944-7202

Reviews and Comments

Physical Therapist in Port Orange, FL

Erin Kwiatkowski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Port Orange, FL 32128 Phone: 888-265-2680
Mr. Jack Verhees, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4904 S Clyde Morris Blvd, Ste D2, Port Orange, FL 32129 Phone: 386-898-0908 Fax: 386-898-0242
Amanda Owen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202
Megan Christiansen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 800-330-7711
Spencer Swift, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202
Ratree Lertkitcharoenpon, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4649 Clyde Morris Blvd Unit 607, Port Orange, FL 32129 Phone: 386-256-3860
Lee Ann Magiera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680

Jett Eclipse, - Medicare Physical Therapist in Port Orange, FL