Mr Shawn E Jackson, PT - Physical Therapist in Green Bay, WI

Mr Shawn E Jackson, PT is a Physical Therapist based in Green Bay, Wisconsin. Mr Shawn E Jackson is licensed to practice in Wisconsin (license number #4899-024) and his current practice location is 2701 Larsen Rd, Suite 111, Green Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 883-2284.

NPI number for Mr Shawn E Jackson is 1053577825 and his current mailing address is 2701 Larsen Rd, Suite 111, Green Bay, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053577825.

Contact Information

Mr Shawn E Jackson, PT
2701 Larsen Rd, Suite 111,
Green Bay, WI 54303-4863
(920) 883-2284
(920) 884-1026

Map and Direction




Healthcare Provider's Profile

Full NameMr Shawn E Jackson
GenderMale
SpecialityPhysical Therapist
Location2701 Larsen Rd, Green Bay, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053577825
  • Provider Enumeration Date: 07/31/2008
  • Last Update Date: 05/21/2015

Medical Identifiers

Medical identifiers for Mr Shawn E Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053577825NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist #4899-024 (Wisconsin)Primary

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. Mr Shawn E Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Shawn E Jackson, PT
2701 Larsen Rd, Suite 111,
Green Bay, WI 54303-4863

Ph: (920) 883-2284
Mr Shawn E Jackson, PT
2701 Larsen Rd, Suite 111,
Green Bay, WI 54303-4863

Ph: (920) 883-2284

Reviews and Comments


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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.

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