Mr Christopher Carl Jackson, PHYSICAL THERAPIST in Longville, LA

Mr Christopher Carl Jackson, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" provider in Longville, Louisiana. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Physical Therapy. His current practice location is 12739 Highway 171 Ste B, Longville, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 317-9290.

Mr Christopher Carl Jackson is licensed to practice in Louisiana (license number 06912) 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 1972009041.

Contact Information

	Mr Christopher Carl Jackson, PHYSICAL THERAPIST
	12739 Highway 171 Ste B, Longville, LA 70652-5050
	(337) 317-9290
	(337) 725-4457

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Christopher Carl Jackson
Gender	Male
Speciality	Physical Therapy
Experience	19 Years
Location	12739 Highway 171 Ste B, Longville, Louisiana
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:

Mr Christopher Carl Jackson graduated from medical school in 2005

NPI Data:

NPI Number: 1972009041
Provider Enumeration Date: 04/05/2018
Last Update Date: 02/17/2021

Medicare PECOS Information:

PECOS PAC ID: 5799028395
Enrollment ID: I20200219002263

Medical Identifiers

Medical identifiers for Mr Christopher Carl Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972009041	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	06912 (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. Mr Christopher Carl Jackson allows following entities to bill medicare on his behalf.

Provider Name	Sb Physical Therapy And Sports Rehab
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1619466356 PECOS PAC ID: 2567705163 Enrollment ID: O20200219002104

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. Mr Christopher Carl 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
Mr Christopher Carl Jackson, PHYSICAL THERAPIST 12739 Highway 171 Ste B, Longville, LA 70652-5050 Ph: (337) 317-9290	Mr Christopher Carl Jackson, PHYSICAL THERAPIST 12739 Highway 171 Ste B, Longville, LA 70652-5050 Ph: (337) 317-9290

Reviews and Comments

Physical Therapist in Longville, LA

Sb Physical Therapy And Sports Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 12739 Highway 171 Ste B, Longville, LA 70652 Phone: 337-317-9290 Fax: 337-725-4457
Randi Bullard, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12739 Highway 171 Ste B, Longville, LA 70652 Phone: 337-317-9290

Mr Christopher Carl Jackson, PHYSICAL THERAPIST - Medicare Physical Therapist in Longville, LA