Jose Fernandez, PT, DPT in Shreveport, LA - Medicare Physical Therapist Provider

Jose Fernandez, PT, DPT is a medicare enrolled "Physical Therapist" provider in Shreveport, Louisiana. His current practice location is 1450 Claiborne Ave, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 813-2970.

Jose Fernandez is licensed to practice in Louisiana (license number 11517) 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 1104505643.

Contact Information

	Jose Fernandez, PT, DPT
	1450 Claiborne Ave, Shreveport, LA 71103-4204
	(318) 813-2970
	(318) 813-2981

Map and Direction

Healthcare Provider's Profile

Full Name	Jose Fernandez
Gender	Male
Speciality	Physical Therapist
Location	1450 Claiborne Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104505643
Provider Enumeration Date: 07/12/2023
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 2668833666
Enrollment ID: I20230807000972

Medical Identifiers

Medical identifiers for Jose Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104505643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11517 (Louisiana)	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. Jose Fernandez allows following entities to bill medicare on his behalf.

Provider Name	Lsuhsc-s School Of Allied Health
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1144265976 PECOS PAC ID: 0840669123 Enrollment ID: O20221208000607

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. Jose Fernandez 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
Jose Fernandez, PT, DPT 1450 Claiborne Ave, Shreveport, LA 71103-4204 Ph: (318) 813-2970	Jose Fernandez, PT, DPT 1450 Claiborne Ave, Shreveport, LA 71103-4204 Ph: (318) 813-2970

Reviews and Comments

Physical Therapist in Shreveport, LA

Suzannah Kathryn York - Crump, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 266 Ockley Dr, Shreveport, LA 71105 Phone: 337-580-0083 Fax: 337-580-0083
Anna Means Moore, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Fairfield Ave, Shreveport, LA 71104 Phone: 318-841-0696 Fax: 318-841-0776
Sydney Williams, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 670 Albemarle Dr Ste 1100, Shreveport, LA 71106 Phone: 318-828-1450 Fax: 318-828-2697
Archna Shasta, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7591 Fern Ave Ste 1203, Shreveport, LA 71105 Phone: 318-828-2972
Eberhardt Physical Therapy & Wellness Clinic, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 Jordan St Ste 150, Shreveport, LA 71101 Phone: 318-222-7442 Fax: 318-424-4751
Claire Marie Melebeck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Claiborne Ave, School Of Allied Health, Shreveport, LA 71103 Phone: 318-813-2961 Fax: 318-813-2989
Michael Wayne Wiltcher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10178 Berrywood Cir, Shreveport, LA 71106 Phone: 318-469-4349

Jose Fernandez, PT, DPT - Medicare Physical Therapist in Shreveport, LA