Jordan Chase Black, DPT in Morristown, TN - Medicare Physical Therapist Provider

Jordan Chase Black, DPT is a medicare enrolled "Physical Therapist" provider in Morristown, Tennessee. His current practice location is 325 W Morris Blvd, Morristown, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 317-7772.

Jordan Chase Black is licensed to practice in Tennessee (license number 11101) 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 1548718760.

Contact Information

	Jordan Chase Black, DPT
	325 W Morris Blvd, Morristown, TN 37813-2237
	(423) 317-7772
	(423) 317-7773

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Chase Black
Gender	Male
Speciality	Physical Therapist
Location	325 W Morris Blvd, Morristown, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548718760
Provider Enumeration Date: 09/16/2016
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 2860770500
Enrollment ID: I20161031001574

Medical Identifiers

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

Identifier	Type	State	Issuer
1548718760	NPI	-	NPPES
11101	Other	TN	PT LICENSE
Q027222	Medicaid	TN
Q038410	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11101 (Tennessee)	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 Chase Black allows following entities to bill medicare on his behalf.

Provider Name	Jordan C Black
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1528569316 PECOS PAC ID: 5890117469 Enrollment ID: O20200629000595

Provider Name	Tristar Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770116485 PECOS PAC ID: 7911385349 Enrollment ID: O20220525002720

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 Chase Black 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 Chase Black, DPT 325 W Morris Blvd, Morristown, TN 37813-2237 Ph: (423) 375-8907	Jordan Chase Black, DPT 325 W Morris Blvd, Morristown, TN 37813-2237 Ph: (423) 317-7772

Reviews and Comments

Physical Therapist in Morristown, TN

Larry Hal Reed, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1751 W Morris Blvd Ste 1, Morristown, TN 37813 Phone: 423-839-0423 Fax: 423-839-0423
Reed Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2024 E Andrew Johnson Hwy, Morristown, TN 37814 Phone: 865-604-9019
Mr. Michael John Zappas, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 W Morris Blvd, Morristown, TN 37813 Phone: 423-317-7772 Fax: 423-317-7773
Morgan Kay Black, Physical Therapist Medicare: Medicare Enrolled Practice Location: 325 W Morris Blvd, Morristown, TN 37813 Phone: 423-317-7772 Fax: 423-317-7773
David Hamilton, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1026 Mcfarland St, Morristown, TN 37814 Phone: 423-522-3837
Marisa C. Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 S Davy Crockett Pkwy, Morristown, TN 37813 Phone: 423-318-2722
Hamblen Therapy Associates, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2024 E Andrew Johnson Hwy, Morristown, TN 37814 Phone: 423-317-7772 Fax: 423-317-7773

Jordan Chase Black, DPT - Medicare Physical Therapist in Morristown, TN