Jill Patrick, PT, DPT in Louisville, KY - Medicare Physical Therapist Provider

Jill Patrick, PT, DPT is a medicare enrolled "Physical Therapist" provider in Louisville, Kentucky. Her current practice location is 4501 Louise Underwood Way, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 368-2348.

Jill Patrick is licensed to practice in Kentucky (license number 006485) 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 1174902225.

Contact Information

	Jill Patrick, PT, DPT
	4501 Louise Underwood Way, Louisville, KY 40216-3987
	(502) 368-2348
	(502) 371-9067

Map and Direction

Healthcare Provider's Profile

Full Name	Jill Patrick
Gender	Female
Speciality	Physical Therapist
Location	4501 Louise Underwood Way, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174902225
Provider Enumeration Date: 05/22/2015
Last Update Date: 01/08/2018

Medicare PECOS Information:

PECOS PAC ID: 8527324789
Enrollment ID: I20171106000417

Medical Identifiers

Medical identifiers for Jill Patrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174902225	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070.022777 (Illinois)	Secondary
225100000X	Physical Therapist	006485 (Kentucky)	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. Jill Patrick allows following entities to bill medicare on her behalf.

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275259798 PECOS PAC ID: 5193036432 Enrollment ID: O20221130001868

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. Jill Patrick 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
Jill Patrick, PT, DPT 4501 Louise Underwood Way, Louisville, KY 40216-3987 Ph: (502) 368-2348	Jill Patrick, PT, DPT 4501 Louise Underwood Way, Louisville, KY 40216-3987 Ph: (502) 368-2348

Reviews and Comments

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Jill Patrick, PT, DPT - Medicare Physical Therapist in Louisville, KY