Jordan Bennett, in Gulfport, MS - Medicare Physical Therapist Provider

Jordan Bennett, is a medicare enrolled "Physical Therapist" provider in Gulfport, Mississippi. His current practice location is 11010 David St Ste A, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 832-8327.

Jordan Bennett is licensed to practice in Mississippi (license number PT5517) 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 1194131870.

Contact Information

	Jordan Bennett,
	11010 David St Ste A, Gulfport, MS 39503-3481
	(228) 832-8327
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Bennett
Gender	Male
Speciality	Physical Therapist
Location	11010 David St Ste A, Gulfport, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194131870
Provider Enumeration Date: 07/02/2014
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 1850512211
Enrollment ID: I20230919004040

Medical Identifiers

Medical identifiers for Jordan Bennett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194131870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT5517 (Mississippi)	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. Jordan Bennett allows following entities to bill medicare on his behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154852382 PECOS PAC ID: 6507832573 Enrollment ID: O20231004003036

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. Jordan Bennett 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
Jordan Bennett, 11010 David St Ste A, Gulfport, MS 39503-3481 Ph: (228) 832-8327	Jordan Bennett, 11010 David St Ste A, Gulfport, MS 39503-3481 Ph: (228) 832-8327

Reviews and Comments

Physical Therapist in Gulfport, MS

Jacqueline Dang Truong, PT, DPT, OCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 15476b Dedeaux Rd, Gulfport, MS 39503 Phone: 228-539-3232 Fax: 228-539-3230
Elizabeth Anderson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1530 Broad Ave, Gulfport, MS 39501 Phone: 228-864-6544
Exceed Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 12261 Highway 49 Ste 1, Gulfport, MS 39503 Phone: 228-861-4218
Mr. Mark Orson Harris, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15476a Dedeaux Rd, Gulfport, MS 39503 Phone: 228-539-3232
Mr. Gabriel Ezechukwu Ndukwu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St Ste 900, Gulfport, MS 39501 Phone: 228-822-6956
Timothy Joseph Kruchowsky, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 45th Ave Ste B, Gulfport, MS 39501 Phone: 228-864-1212 Fax: 228-868-2323
Daniel Courtenay, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12261 Highway 49 Ste 1, Gulfport, MS 39503 Phone: 228-860-9676 Fax: 228-860-9676

Jordan Bennett, - Medicare Physical Therapist in Gulfport, MS