Mrs Kathryn Elizabeth Jacques, MPT - Medicare Physical Therapist in Fort Defiance, AZ

Mrs Kathryn Elizabeth Jacques, MPT is a medicare enrolled "Physical Therapist" provider in Fort Defiance, Arizona. Her current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8132.

Mrs Kathryn Elizabeth Jacques is licensed to practice in Alaska (license number PHYP2898) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245470210.

Contact Information

Mrs Kathryn Elizabeth Jacques, MPT
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504
(928) 729-8132
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kathryn Elizabeth Jacques
GenderFemale
SpecialityPhysical Therapist
LocationCorner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245470210
  • Provider Enumeration Date: 03/03/2009
  • Last Update Date: 08/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9133391220
  • Enrollment ID: I20111014000169

Medical Identifiers

Medical identifiers for Mrs Kathryn Elizabeth Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245470210NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PHYP2898 (Alaska)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. Mrs Kathryn Elizabeth Jacques allows following entities to bill medicare on her behalf.
Provider NameAlaska Native Tribal Health Consortium
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437189339
PECOS PAC ID: 6709780265
Enrollment ID: O20031125000772
Provider NameSouthcentral Foundation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780614263
PECOS PAC ID: 5496663627
Enrollment ID: O20051027000416

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. Mrs Kathryn Elizabeth Jacques 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 AddressPractice Location Address
Mrs Kathryn Elizabeth Jacques, MPT
4201 Tudor Centre Dr,
Anchorage, AK 99508-5914

Ph: (907) 729-3300
Mrs Kathryn Elizabeth Jacques, MPT
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504

Ph: (928) 729-8132

Reviews and Comments


Physical Therapist in Fort Defiance, AZ

Sarah Maria Berkenstock, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: N7, Corner Of Routes N12, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Robbie Whitehair, MPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: Corner Of Route N12 And N7, Fort Defiance Indian Hospital Board, Inc., Fort Defiance, AZ 86504
Phone: 928-729-8810    
Dr. Jonathan Thomas Keown, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Miss Deidrea Rose Salabye, P.T.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    Fax: 928-729-8814
Ms. Alana Marie Bencivengo, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Route 12 And 7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Dr. Craig Amidon Fox, DPT, NCS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8810    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.