Taylor Nicole Jackson, in Stafford Springs, CT - Medicare Physical Therapist Provider

Taylor Nicole Jackson, is a medicare enrolled "Physical Therapist" provider in Stafford Springs, Connecticut. Her current practice location is 77 W Stafford Rd, Stafford Springs, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 684-6528.

Taylor Nicole Jackson is licensed to practice in Connecticut (license number 14237) 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 1770357105.

Contact Information

	Taylor Nicole Jackson,
	77 W Stafford Rd, Stafford Springs, CT 06076-1015
	(860) 684-6528
	(860) 684-5263

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor Nicole Jackson
Gender	Female
Speciality	Physical Therapist
Location	77 W Stafford Rd, Stafford Springs, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770357105
Provider Enumeration Date: 11/07/2023
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7517315005
Enrollment ID: I20231121003593

Medical Identifiers

Medical identifiers for Taylor Nicole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770357105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	14237 (Connecticut)	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. Taylor Nicole Jackson allows following entities to bill medicare on her behalf.

Provider Name	Integrated Rehabilitation Services Limited Partnership
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1346969532 PECOS PAC ID: 8426428129 Enrollment ID: O20221221000196

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. Taylor Nicole 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
Taylor Nicole Jackson, 77 W Stafford Rd, Stafford Springs, CT 06076-1015 Ph: (860) 684-6528	Taylor Nicole Jackson, 77 W Stafford Rd, Stafford Springs, CT 06076-1015 Ph: (860) 684-6528

Reviews and Comments

Physical Therapist in Stafford Springs, CT

Mrs. Christine B Anthony, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 58a West Stafford Road, Stafford Springs, CT 06076 Phone: 860-684-6895 Fax: 860-684-5263
Megan Mccollum, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 58a W Stafford Rd, Stafford Springs, CT 06076 Phone: 860-684-6528
Renee Logan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Chestnut Hill Rd, Stafford Springs, CT 06076 Phone: 860-684-6341

Taylor Nicole Jackson, - Medicare Physical Therapist in Stafford Springs, CT