Michael Gene Jacketta, MPT, OCS in Evanston, WY - Medicare Physical Therapy Provider

Michael Gene Jacketta, MPT, OCS is a medicare enrolled "Physical Therapist" provider in Evanston, Wyoming. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Wyoming Specialized Physical Therapy Inc and his current practice location is 620 West Cheyenne Drive, Evanston, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 789-8860.

Michael Gene Jacketta is licensed to practice in Wyoming (license number 840) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134131055.

Contact Information

	Michael Gene Jacketta, MPT, OCS
	620 West Cheyenne Drive, Evanston, WY 82930-5359
	(307) 789-8860
	(307) 789-8394

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Gene Jacketta
Gender	Male
Speciality	Physical Therapy
Experience	26 Years
Location	620 West Cheyenne Drive, Evanston, Wyoming
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Gene Jacketta graduated from medical school in 1998

NPI Data:

NPI Number: 1134131055
Provider Enumeration Date: 08/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8426043167
Enrollment ID: I20101122000809

Medical Identifiers

Medical identifiers for Michael Gene Jacketta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134131055	NPI	-	NPPES
117012100 118279000	Medicaid	WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	840 (Wyoming)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wyoming Specialized Physical Therapy Inc	4486649100	2

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. Michael Gene Jacketta allows following entities to bill medicare on his behalf.

Provider Name	Wyoming Specialized Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336151265 PECOS PAC ID: 4486649100 Enrollment ID: O20040420000722

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. Michael Gene Jacketta 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
Michael Gene Jacketta, MPT, OCS 620 West Cheyenne Drive, Evanston, WY 82930-5359 Ph: (307) 789-8860	Michael Gene Jacketta, MPT, OCS 620 West Cheyenne Drive, Evanston, WY 82930-5359 Ph: (307) 789-8860

Reviews and Comments

Physical Therapist in Evanston, WY

The Intuitive Parents Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 City View Dr Ste 204, Evanston, WY 82930 Phone: 307-223-2286 Fax: 307-448-4604
Talen Little, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 195 Feather Way, Evanston, WY 82930 Phone: 307-224-7940
Uinta Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 170 Yellow Creek Rd, Suite D, Evanston, WY 82930 Phone: 307-783-8068 Fax: 307-783-8073
Dr. Jacqueline Clark, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 195 Feather Way, Evanston, WY 82930 Phone: 307-789-0096
Dr. Matthew Dennis Mitchell, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 196 Arrowhead Dr Ste 3, Evanston, WY 82930 Phone: 307-783-8220
Wyoming Specialized Physical Therapy Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 620 W Cheyenne Dr., Evanston, WY 82930 Phone: 307-789-8860 Fax: 307-789-8394

Michael Gene Jacketta, MPT, OCS - Medicare Physical Therapist in Evanston, WY