Kaci Jackson, is a medicare enrolled "Physical Therapist" provider in Macon, Mississippi. Her current practice location is
78 Hospital Rd, Macon, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 726-4231.
Kaci Jackson is licensed to practice in Mississippi (license number PT5726) 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 1255992525.
Healthcare Provider's Profile
Full Name | Kaci Jackson |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 78 Hospital Rd, Macon, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255992525
- Provider Enumeration Date: 06/26/2019
- Last Update Date: 06/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 4880045061
- Enrollment ID: I20240112000046
Medical Identifiers
Medical identifiers for Kaci Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255992525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT5726 (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. Kaci Jackson allows following entities to bill medicare on her behalf.
Provider Name | Encore Rehabilitation, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1033218524 PECOS PAC ID: 3577462126 Enrollment ID: O20121106000516 |
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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. Kaci Jackson 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 |
Kaci Jackson, 711 Avignon Dr, Ridgeland, MS 39157-5120 Ph: (601) 605-6777 | Kaci Jackson, 78 Hospital Rd, Macon, MS 39341-2490 Ph: (662) 726-4231 |
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