Miss Amanda Mary Jetty, DPT in Williamsburg, VA - Medicare Physical Therapy Provider

Miss Amanda Mary Jetty, DPT is a medicare enrolled "Physical Therapist" provider in Williamsburg, Virginia. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Tidewater Physicians Multispecialty Group Pc and her current practice location is 5424 Discovery Park Blvd, Bldg. B /ste. 101, Williamsburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 345-2512.

Miss Amanda Mary Jetty is licensed to practice in Virginia (license number 2305208434) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376838433.

Contact Information

	Miss Amanda Mary Jetty, DPT
	5424 Discovery Park Blvd, Bldg. B /ste. 101, Williamsburg, VA 23188
	(757) 345-2512
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Amanda Mary Jetty
Gender	Female
Speciality	Physical Therapy
Experience	13 Years
Location	5424 Discovery Park Blvd, Williamsburg, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Amanda Mary Jetty graduated from medical school in 2011

NPI Data:

NPI Number: 1376838433
Provider Enumeration Date: 06/16/2011
Last Update Date: 06/18/2019

Medicare PECOS Information:

PECOS PAC ID: 5395974653
Enrollment ID: I20140207000208

Medical Identifiers

Medical identifiers for Miss Amanda Mary Jetty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376838433	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305208434 (Virginia)	Primary
225100000X	Physical Therapist	13158 (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tidewater Physicians Multispecialty Group Pc	2860398526	252

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. Miss Amanda Mary Jetty allows following entities to bill medicare on her behalf.

Provider Name	Tidewater Physicians Multispecialty Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980

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. Miss Amanda Mary Jetty 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
Miss Amanda Mary Jetty, DPT 860 Omni Blvd Ste 303, Newport News, VA 23606-4477 Ph: (757) 232-8769	Miss Amanda Mary Jetty, DPT 5424 Discovery Park Blvd, Bldg. B /ste. 101, Williamsburg, VA 23188 Ph: (757) 345-2512

Reviews and Comments

Physical Therapist in Williamsburg, VA

Tidewater Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4125 Ironbound Rd, Ste 100, Williamsburg, VA 23188 Phone: 757-220-8383 Fax: 757-253-7833
Tara Lee Perkins, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Bulifants Blvd Ste A, Williamsburg, VA 23188 Phone: 757-564-7381 Fax: 757-564-7391
Ann Degruy Scanlon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5700 Warhill Trl, Williamsburg, VA 23188 Phone: 757-912-2726
D Russell Mosher, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 109 Bulifants Blvd, Suite B, Williamsburg, VA 23188 Phone: 757-229-9740 Fax: 757-345-6953
Karen Mcpadden, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5388 Discovery Park Blvd Ste 100, Williamsburg, VA 23188 Phone: 757-903-4230 Fax: 757-903-4231
Reach For Performance, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 Lightfoot Rd, Suite J, Williamsburg, VA 23188 Phone: 757-258-1221 Fax: 757-258-7733
Bryce Taylor Koob, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6425 Richmond Rd, Williamsburg, VA 23188 Phone: 757-345-3242

Miss Amanda Mary Jetty, DPT - Medicare Physical Therapist in Williamsburg, VA