Mr Jared Cole Wilburn, MPT is a medicare enrolled "Physical Therapist" provider in Southgate, Kentucky. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Orthocincy Orthopaedics And Sports Medicine Psc, Orthocincy Orthopaedics And Sports Medicine Psc and his current practice location is
525 Alexandria Pike, Suite 200, Southgate, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 441-7913.
Mr Jared Cole Wilburn is licensed to practice in Kentucky (license number 005941) 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 1760704431.
Healthcare Provider's Profile
| Full Name | Mr Jared Cole Wilburn |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 17 Years |
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| Location | 525 Alexandria Pike, Southgate, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jared Cole Wilburn graduated from medical school in 2007
NPI Data:
- NPI Number: 1760704431
- Provider Enumeration Date: 02/23/2010
- Last Update Date: 05/12/2015
Medicare PECOS Information:
- PECOS PAC ID: 0840453239
- Enrollment ID: I20120522001238
Medical Identifiers
Medical identifiers for Mr Jared Cole Wilburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760704431 | NPI | - | NPPES |
| 7100220980 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 05009495A (Indiana) | Secondary |
| 225100000X | Physical Therapist | 005941 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Orthocincy Orthopaedics And Sports Medicine Psc | 3173500196 | 145 |
| Orthocincy Orthopaedics And Sports Medicine Psc | 3173500196 | 145 |
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 Jared Cole Wilburn allows following entities to bill medicare on his behalf.
| Provider Name | Orthocincy Orthopaedics & Sports Medicine Psc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598714560
PECOS PAC ID: 3173500196
Enrollment ID: O20040707000498 |
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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 Jared Cole Wilburn 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 |
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Mr Jared Cole Wilburn, MPT
560 S Loop Rd,
Edgewood, KY 41017-3405
Ph: (859) 301-2663 | Mr Jared Cole Wilburn, MPT
525 Alexandria Pike, Suite 200,
Southgate, KY 41071-3290
Ph: (859) 441-7913 |
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