Kathy Jackson, PT - Medicare Physical Therapist in Live Oak, FL

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Kathy Jackson, PT is a medicare enrolled "Physical Therapist" provider in Live Oak, Florida. Her current practice location is 10820 Marvin E. Jones Blvd., Live Oak, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 658-5865.

Kathy Jackson is licensed to practice in Florida (license number PT17158) 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 1811060379.

Contact Information

Kathy Jackson, PT
10820 Marvin E. Jones Blvd.,
Live Oak, FL 32060
(386) 658-5865
(386) 658-5542

Map and Direction




Healthcare Provider's Profile

Full NameKathy Jackson
GenderFemale
SpecialityPhysical Therapist
Location10820 Marvin E. Jones Blvd., Live Oak, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811060379
  • Provider Enumeration Date: 11/15/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9133209927
  • Enrollment ID: I20080107000364

Medical Identifiers

Medical identifiers for Kathy Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811060379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT17158 (Florida)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. Kathy Jackson allows following entities to bill medicare on her behalf.
Provider NameAcv Community Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1174630693
PECOS PAC ID: 3476462078
Enrollment ID: O20040402000091

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. Kathy 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 AddressPractice Location Address
Kathy Jackson, PT
373 Ne Gid Jackson Ln,
Mayo, FL 32066

Ph: (386) 658-5865		Kathy Jackson, PT
10820 Marvin E. Jones Blvd.,
Live Oak, FL 32060

Ph: (386) 658-5865

Reviews and Comments


Physical Therapist in Live Oak, FL

Bhupendra Shah, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Pineview Cir Sw, Live Oak, FL 32064
Phone: 580-504-3391    
Emily Folsom, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 405 11th St Sw, Live Oak, FL 32064
Phone: 386-364-5051    
John C Palmer, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 13975 County Road 136, Live Oak, FL 32060
Phone: 386-364-6638    
Kelbey Perry,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 405 11th St Sw Ste 103, Live Oak, FL 32064
Phone: 386-364-5051    
Jose Alvaro Ponce Ii,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1620 Helvenston St Se, Live Oak, FL 32064
Phone: 626-634-1128    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.