Jordan Lynn Blagrave, DPT in Lamesa, TX - Medicare Physical Therapist Provider

Jordan Lynn Blagrave, DPT is a medicare enrolled "Physical Therapist" provider in Lamesa, Texas. Her current practice location is 221 N Main Ave, Lamesa, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 200-5030.

Jordan Lynn Blagrave is licensed to practice in * (Not Available) (license number 1394078) 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 1255174801.

Contact Information

	Jordan Lynn Blagrave, DPT
	221 N Main Ave, Lamesa, TX 79331-5533
	(806) 200-5030
	(806) 370-6484

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Lynn Blagrave
Gender	Female
Speciality	Physical Therapist
Location	221 N Main Ave, Lamesa, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255174801
Provider Enumeration Date: 06/13/2024
Last Update Date: 10/22/2024

Medicare PECOS Information:

PECOS PAC ID: 2264968429
Enrollment ID: I20241211001274

Medical Identifiers

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

Identifier	Type	State	Issuer
1255174801	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1394078 (* (Not Available))	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 Lynn Blagrave allows following entities to bill medicare on her behalf.

Provider Name	Lamesa Physical Therapy And Sports Rehab, Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1205346541 PECOS PAC ID: 4789941758 Enrollment ID: O20171129001393

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 Lynn Blagrave 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 Lynn Blagrave, DPT 221 N Main Ave, Lamesa, TX 79331-5533 Ph: (806) 200-5030	Jordan Lynn Blagrave, DPT 221 N Main Ave, Lamesa, TX 79331-5533 Ph: (806) 200-5030

Reviews and Comments

Physical Therapist in Lamesa, TX

Kristen S Snellgrove, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 N Main Ave, Lamesa, TX 79331 Phone: 806-752-7499
Lamesa Physical Therapy And Sports Rehab, Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 221 N Main Ave, Lamesa, TX 79331 Phone: 806-759-1483 Fax: 806-370-6484
Joshua Klaus Freitag, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 N Main Ave, Lamesa, TX 79331 Phone: 806-752-7499 Fax: 806-370-6484
Tyler Sikes, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 N Main Ave, Lamesa, TX 79331 Phone: 806-752-7499 Fax: 806-370-6484

Jordan Lynn Blagrave, DPT - Medicare Physical Therapist in Lamesa, TX