Gabrielle C Etchegaray Jackson, DPT in Anaheim, CA - Medicare Physical Therapist Provider

Gabrielle C Etchegaray Jackson, DPT is a medicare enrolled "Physical Therapist" provider in Anaheim, California. Her current practice location is 505 N Euclid St Ste 680, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (714) 780-0010.

Gabrielle C Etchegaray Jackson is licensed to practice in California (license number 304655) 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 1760265565.

Contact Information

	Gabrielle C Etchegaray Jackson, DPT
	505 N Euclid St Ste 680, Anaheim, CA 92801-5509
	(714) 780-0010
	(714) 912-8640

Map and Direction

Healthcare Provider's Profile

Full Name	Gabrielle C Etchegaray Jackson
Gender	Female
Speciality	Physical Therapist
Location	505 N Euclid St Ste 680, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760265565
Provider Enumeration Date: 08/15/2023
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 6507211216
Enrollment ID: I20231016003359

Medical Identifiers

Medical identifiers for Gabrielle C Etchegaray Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760265565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	304655 (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. Gabrielle C Etchegaray Jackson allows following entities to bill medicare on her behalf.

Provider Name	California Rehab And Sports Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386696409 PECOS PAC ID: 6709788896 Enrollment ID: O20040120001115

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. Gabrielle C Etchegaray 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
Gabrielle C Etchegaray Jackson, DPT 505 N Euclid St Ste 680, Anaheim, CA 92801-5509 Ph: (714) 780-0010	Gabrielle C Etchegaray Jackson, DPT 505 N Euclid St Ste 680, Anaheim, CA 92801-5509 Ph: (714) 780-0010

Reviews and Comments

Physical Therapist in Anaheim, CA

Jeremy K Simmons, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 N Euclid St, Suite 680, Anaheim, CA 92801 Phone: 714-780-0010 Fax: 714-780-0050
Jason Matthew Funke, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 S Anaheim Blvd, Anaheim, CA 92805 Phone: 714-937-1919
Sheryl Gonzales Ante, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 761 S Melrose St, Anaheim, CA 92805 Phone: 714-658-6321
Rhodora T Intal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 N Magnolia Ave, Anaheim, CA 92801 Phone: 714-484-1280
Jennifer Greene, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 N Euclid St, Ste 680, Anaheim, CA 92801 Phone: 714-780-0010 Fax: 714-780-0050
Parivash F Oreizy, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 S Anaheim Hills Rd, Suite 106, Anaheim, CA 92807 Phone: 714-685-0700 Fax: 714-685-9916
Eliza H Cho, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 N Lakeview Ave, Anaheim, CA 92807 Phone: 714-748-6166

Gabrielle C Etchegaray Jackson, DPT - Medicare Physical Therapist in Anaheim, CA