Shane Loran Jackson, DPT in Oakland, CA - Medicare Physical Therapy Provider

Shane Loran Jackson, DPT is a medicare enrolled "Physical Therapist" provider in Oakland, California. He went to University Of California, San Francisco School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Physical Therapy. His current practice location is 2844 Summit St, Ste 106, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 788-4535.

Shane Loran Jackson is licensed to practice in California (license number 23897) 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 1548567571.

Contact Information

	Shane Loran Jackson, DPT
	2844 Summit St, Ste 106, Oakland, CA 94609-3641
	(510) 788-4535
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shane Loran Jackson
Gender	Male
Speciality	Physical Therapy
Experience	26 Years
Location	2844 Summit St, Oakland, 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:

Shane Loran Jackson attended and graduated from University Of California, San Francisco School Of Medicine in 1998

NPI Data:

NPI Number: 1548567571
Provider Enumeration Date: 02/28/2011
Last Update Date: 02/15/2016

Medicare PECOS Information:

PECOS PAC ID: 3072797265
Enrollment ID: I20110413000287

Medical Identifiers

Medical identifiers for Shane Loran Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548567571	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	23897 (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. Shane Loran Jackson allows following entities to bill medicare on his behalf.

Provider Name	Action Jackson Physical Therapy, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255700555 PECOS PAC ID: 8921395880 Enrollment ID: O20160921001835

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. Shane Loran 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
Shane Loran Jackson, DPT 2844 Summit St, Ste 106, Oakland, CA 94609-3641 Ph: (510) 788-4535	Shane Loran Jackson, DPT 2844 Summit St, Ste 106, Oakland, CA 94609-3641 Ph: (510) 788-4535

Reviews and Comments

Physical Therapist in Oakland, CA

Eric Biglang-awa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1814 Franklin St, Suite 905, Oakland, CA 94612 Phone: 510-893-7463
Suzanne P Whitcomb, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Mr. Matthew Gabrielson, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6221
Tammara J Moore, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4341 Piedmont Ave Ste 201, Oakland, CA 94611 Phone: 510-547-1630 Fax: 510-923-1944
Miss Denitza V Hristova, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Barbara Chan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-655-4000
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4341 Piedmont Ave Ste 201, Oakland, CA 94611 Phone: 510-547-1630

Shane Loran Jackson, DPT - Medicare Physical Therapist in Oakland, CA