Mr Jack Jacobs, PT/DPT in Louisville, KY - Medicare Physical Therapist Provider

Mr Jack Jacobs, PT/DPT is a medicare enrolled "Physical Therapist - Geriatrics" provider in Louisville, Kentucky. His current practice location is 2000 Newburg Rd, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 459-9681.

Mr Jack Jacobs is licensed to practice in Kentucky (license number 005251) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245474774.

Contact Information

	Mr Jack Jacobs, PT/DPT
	2000 Newburg Rd, Louisville, KY 40205-1803
	(502) 459-9681
	(502) 479-2501

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jack Jacobs
Gender	Male
Speciality	Physical Therapist - Geriatrics
Location	2000 Newburg Rd, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245474774
Provider Enumeration Date: 04/28/2009
Last Update Date: 04/28/2009

Medicare PECOS Information:

PECOS PAC ID: 0547443558
Enrollment ID: I20110330000036

Medical Identifiers

Medical identifiers for Mr Jack Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245474774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251G0304X	Physical Therapist - Geriatrics	005251 (Kentucky)	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 Jack Jacobs allows following entities to bill medicare on his behalf.

Provider Name	Next Pt Group Kentucky, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1861962581 PECOS PAC ID: 9032442017 Enrollment ID: O20190605003369

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 Jack Jacobs 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 Jack Jacobs, PT/DPT 1900 Arboro Pl, Louisville, KY 40220-3576 Ph: (502) 298-4932	Mr Jack Jacobs, PT/DPT 2000 Newburg Rd, Louisville, KY 40205-1803 Ph: (502) 459-9681

Reviews and Comments

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Mr Jack Jacobs, PT/DPT - Medicare Physical Therapist in Louisville, KY