Mr Russell Blake Jasper, DPT is a medicare enrolled "Physical Therapist" provider in Mc Gehee, Arkansas. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Physical Therapy. His current practice location is
706 Holly St, Mc Gehee, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 265-1074.
Mr Russell Blake Jasper is licensed to practice in Arkansas (license number PT2988) 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 1700037835.
Healthcare Provider's Profile
Full Name | Mr Russell Blake Jasper |
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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 | 706 Holly St, Mc Gehee, Arkansas |
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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. |
Medical Education and Training:
- Mr Russell Blake Jasper graduated from medical school in 2007
NPI Data:
- NPI Number: 1700037835
- Provider Enumeration Date: 10/07/2008
- Last Update Date: 03/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648566331
- Enrollment ID: I20160906002421
Medical Identifiers
Medical identifiers for Mr Russell Blake Jasper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700037835 | NPI | - | NPPES |
5AU27 | Other | AR | BCBS |
201955721 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT2988 (Arkansas) | 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 Russell Blake Jasper allows following entities to bill medicare on his behalf.
Provider Name | Hands On Rehab Services, Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1497138846 PECOS PAC ID: 2567758246 Enrollment ID: O20160906002284 |
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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 Russell Blake Jasper 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 Russell Blake Jasper, DPT Po Box 183, Mc Gehee, AR 71654-0183 Ph: () - | Mr Russell Blake Jasper, DPT 706 Holly St, Mc Gehee, AR 71654-2111 Ph: (870) 265-1074 |
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