Mr Thomas William Jackson Mspt, PT in Newark, NY - Medicare Physical Therapist Provider

Mr Thomas William Jackson Mspt, PT is a medicare enrolled "Physical Therapist" provider in Newark, New York. His current practice location is 1200 Driving Park Ave, Newark, New York. You can reach out to his office (for appointments etc.) via phone at (315) 332-2289.

Mr Thomas William Jackson Mspt is licensed to practice in New York (license number 011505) 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 1326682618.

Contact Information

	Mr Thomas William Jackson Mspt, PT
	1200 Driving Park Ave, Newark, NY 14513-1090
	(315) 332-2289
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Thomas William Jackson Mspt
Gender	Male
Speciality	Physical Therapist
Location	1200 Driving Park Ave, Newark, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326682618
Provider Enumeration Date: 10/30/2019
Last Update Date: 12/07/2021

Medicare PECOS Information:

PECOS PAC ID: 4183014806
Enrollment ID: I20211211000139

Medical Identifiers

Medical identifiers for Mr Thomas William Jackson Mspt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326682618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	011505 (New York)	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 Thomas William Jackson Mspt allows following entities to bill medicare on his behalf.

Provider Name	Western New York Medical Practice Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598

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 Thomas William Jackson Mspt 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 Thomas William Jackson Mspt, PT Po Box 111, Newark, NY 14513-0111 Ph: (315) 332-2289	Mr Thomas William Jackson Mspt, PT 1200 Driving Park Ave, Newark, NY 14513-1090 Ph: (315) 332-2289

Reviews and Comments

Physical Therapist in Newark, NY

Brianna Nell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 518 Murray St, Newark, NY 14513 Phone: 315-331-8542
Mrs. Mary Elaine Gines Carbonell, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 848 Peirson Ave, Newark, NY 14513 Phone: 315-879-2500
Newark Physical Therapy & Sports Injury Rehabilitation, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 513 W Union St, Newark, NY 14513 Phone: 315-331-3784 Fax: 315-331-4667
Travis Martin Anstee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 E Miller St, Newark, NY 14513 Phone: 315-331-7666
Martha Wemett, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 513 W Union St, Newark, NY 14513 Phone: 315-331-3784 Fax: 315-331-4667
Mrs. Andrea Lorene Ide, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-332-2289 Fax: 315-332-2472
Alexis Barnes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Drumlin Ct, Newark, NY 14513 Phone: 315-332-7400

Mr Thomas William Jackson Mspt, PT - Medicare Physical Therapist in Newark, NY