Ms Kimberly Ann Jacob, PT in Phoenix, AZ - Medicare Physical Therapist Provider

Ms Kimberly Ann Jacob, PT is a medicare enrolled "Physical Therapist" provider in Phoenix, Arizona. Her current practice location is 118 E Waltann Ln, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 692-7232.

Ms Kimberly Ann Jacob is licensed to practice in Arizona (license number 1389) 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 1669788139.

Contact Information

	Ms Kimberly Ann Jacob, PT
	118 E Waltann Ln, Phoenix, AZ 85022-3037
	(602) 692-7232
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kimberly Ann Jacob
Gender	Female
Speciality	Physical Therapist
Location	118 E Waltann Ln, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669788139
Provider Enumeration Date: 08/23/2010
Last Update Date: 08/23/2010

Medicare PECOS Information:

PECOS PAC ID: 1254795677
Enrollment ID: I20230918002540

Medical Identifiers

Medical identifiers for Ms Kimberly Ann Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669788139	NPI	-	NPPES
356388	Other	AZ	AHCCCS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1389 (Arizona)	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. Ms Kimberly Ann Jacob allows following entities to bill medicare on her behalf.

Provider Name	Arizona Mobile Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104521616 PECOS PAC ID: 1557726379 Enrollment ID: O20230501002627

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. Ms Kimberly Ann 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
Ms Kimberly Ann Jacob, PT 118 E Waltann Ln, Phoenix, AZ 85022-3037 Ph: (602) 692-7232	Ms Kimberly Ann Jacob, PT 118 E Waltann Ln, Phoenix, AZ 85022-3037 Ph: (602) 692-7232

Reviews and Comments

Physical Therapist in Phoenix, AZ

Mrs. Judith Savage Shoup, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10251 N 35th Ave, Phoenix, AZ 85051 Phone: 602-995-7366 Fax: 602-995-0867
Ms. Hillary Kristi Vance, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave, Building 8, Phoenix, AZ 85027 Phone: 623-594-9034 Fax: 623-594-9868
Dr. Sarah Buschmann, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5055 E Washington St, Phoenix, AZ 85034 Phone: 602-277-1073
Dr. Haley Dudzinski, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2942 N 7th Ave Ste A101, Phoenix, AZ 85013 Phone: 602-277-0084 Fax: 602-277-0885
Kendra Ann Scott, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 E Earll Dr Ste 360, Phoenix, AZ 85012 Phone: 480-788-5621 Fax: 480-779-1277
Dr. Taylor Wingstrom, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 41818 N Venture Dr Ste 120, Phoenix, AZ 85086 Phone: 623-742-7338
Steven Notaro, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2222 E Highland Ave Ste 310, Phoenix, AZ 85016 Phone: 602-512-8550

Ms Kimberly Ann Jacob, PT - Medicare Physical Therapist in Phoenix, AZ