Mr Kyle Jackson, PT in Petaluma, CA - Medicare Physical Therapy Provider

Mr Kyle Jackson, PT is a medicare enrolled "Physical Therapist" provider in Petaluma, California. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Physical Therapy. His current practice location is 1310 Casa Grande Rd, Suite B, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (707) 782-0921.

Mr Kyle Jackson is licensed to practice in California (license number PT27666) 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 1861597908.

Contact Information

	Mr Kyle Jackson, PT
	1310 Casa Grande Rd, Suite B, Petaluma, CA 94954-5603
	(707) 782-0921
	(707) 782-0926

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kyle Jackson
Gender	Male
Speciality	Physical Therapy
Experience	23 Years
Location	1310 Casa Grande Rd, Petaluma, California
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 Kyle Jackson graduated from medical school in 2001

NPI Data:

NPI Number: 1861597908
Provider Enumeration Date: 09/13/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 4385818772
Enrollment ID: I20111121000821

Medical Identifiers

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

Identifier	Type	State	Issuer
1861597908	NPI	-	NPPES
ZZZ231187	Other	CA	MEDICARE GRP ID#
ZZZ00793Z	Other	CA	BLUE SHIELD PROV GRP #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT27666 (California)	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 Kyle Jackson allows following entities to bill medicare on his behalf.

Provider Name	Next Level Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003280801 PECOS PAC ID: 3870899800 Enrollment ID: O20160316002566

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 Kyle 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 Kyle Jackson, PT Po Box 10, Windsor, CA 95492-0010 Ph: (707) 837-7980	Mr Kyle Jackson, PT 1310 Casa Grande Rd, Suite B, Petaluma, CA 94954-5603 Ph: (707) 782-0921

Reviews and Comments

Physical Therapist in Petaluma, CA

Next Level Physical Therapy Performance And Fitness Physical Therapist Medicare: Medicare Enrolled Practice Location: 719 Southpoint Blvd, Suite A, Petaluma, CA 94954 Phone: 707-781-8062 Fax: 707-981-8684
Mrs. Jacqueline Michelle Quinn, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 169 Lynch Creek Way, Petaluma, CA 94954 Phone: 707-763-0115
Ms. Lory M Teicheira, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 306 Bassett St, Petaluma, CA 94952 Phone: 707-769-0915 Fax: 707-769-9244
Ms. Lydia E Estevez, P,T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3628
Michelle Garcia, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 B St, Petaluma, CA 94952 Phone: 707-765-3030
Christine O'meara, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1712 Chehalis Dr, Petaluma, CA 94954 Phone: 707-849-9310
Corriene Atup, BSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1108 Ponderosa Dr, Petaluma, CA 94954 Phone: 415-420-9185

Mr Kyle Jackson, PT - Medicare Physical Therapist in Petaluma, CA