Mr Jeffrey A Jacob, PT in Fenton, MI - Medicare Physical Therapist Provider

Mr Jeffrey A Jacob, PT is a medicare enrolled "Physical Therapist" provider in Fenton, Michigan. His current practice location is 400 Rounds Dr, Fenton, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 750-1996.

Mr Jeffrey A Jacob is licensed to practice in Michigan (license number 5501006259) 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 1356528293.

Contact Information

	Mr Jeffrey A Jacob, PT
	400 Rounds Dr, Fenton, MI 48430-1724
	(810) 750-1996
	(810) 750-6361

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeffrey A Jacob
Gender	Male
Speciality	Physical Therapist
Location	400 Rounds Dr, Fenton, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356528293
Provider Enumeration Date: 01/23/2008
Last Update Date: 12/04/2024

Medicare PECOS Information:

PECOS PAC ID: 8224112685
Enrollment ID: I20080222000516

Medical Identifiers

Medical identifiers for Mr Jeffrey A Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356528293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501006259 (Michigan)	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 Jeffrey A Jacob allows following entities to bill medicare on his behalf.

Provider Name	Team Rehabilitation St, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1548531080 PECOS PAC ID: 9436313012 Enrollment ID: O20120611000637

Provider Name	Michigan Rehabilitation Specialists Of Fowlerville Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1669531166 PECOS PAC ID: 6204730393 Enrollment ID: O20130927000721

Provider Name	Team Rehabilitation Fh, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1801834957 PECOS PAC ID: 0840237103 Enrollment ID: O20150416001683

Provider Name	Ivyrehab Michigan Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245

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 Jeffrey A Jacob 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 Jeffrey A Jacob, PT Po Box 412031, Boston, MA 02241-2031 Ph: (914) 294-4050	Mr Jeffrey A Jacob, PT 400 Rounds Dr, Fenton, MI 48430-1724 Ph: (810) 750-1996

Reviews and Comments

Physical Therapist in Fenton, MI

Maille Guerin, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 Rounds Dr, Fenton, MI 48430 Phone: 810-629-0530
Allison Elizabeth Westhoff, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17015 Silver Pkwy, Fenton, MI 48430 Phone: 810-593-0027 Fax: 810-593-0202
Sunhee Szynkowski, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17015 Silver Pkwy, Fenton, MI 48430 Phone: 810-593-0027 Fax: 810-593-0202
Michael Treysman, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 Rounds Dr, Fenton, MI 48430 Phone: 810-750-6361 Fax: 810-750-6361
Alycia Schlosser, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 Rounds Dr, Fenton, MI 48430 Phone: 810-750-1996 Fax: 810-750-6361
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Rounds Dr, Fenton, MI 48430 Phone: 810-750-1996
Dr. Joseph Edward Booker Ii, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3240 W Silver Lake Rd, Fenton, MI 48430 Phone: 810-714-4616 Fax: 810-714-4809

Mr Jeffrey A Jacob, PT - Medicare Physical Therapist in Fenton, MI