Samuel Collins Jackson, DPT in Mt Pleasant, SC - Medicare Physical Therapy Provider

Samuel Collins Jackson, DPT is a medicare enrolled "Physical Therapist" provider in Mt Pleasant, South Carolina. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Foundation Physical Therapy Llc and his current practice location is 1125 Landau Ln, Mt Pleasant, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 375-5448.

Samuel Collins Jackson is licensed to practice in South Carolina (license number 10222) 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 1811511199.

Contact Information

	Samuel Collins Jackson, DPT
	1125 Landau Ln, Mt Pleasant, SC 29466-7300
	(843) 375-5448
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Collins Jackson
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	1125 Landau Ln, Mt Pleasant, South Carolina
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:

Samuel Collins Jackson graduated from medical school in 2020

NPI Data:

NPI Number: 1811511199
Provider Enumeration Date: 06/03/2020
Last Update Date: 10/20/2022

Medicare PECOS Information:

PECOS PAC ID: 2163820481
Enrollment ID: I20211018000258

Medical Identifiers

Medical identifiers for Samuel Collins Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811511199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Secondary
225100000X	Physical Therapist	10222 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Foundation Physical Therapy Llc	5597136507	2

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. Samuel Collins Jackson allows following entities to bill medicare on his behalf.

Provider Name	Imagine Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1245241041 PECOS PAC ID: 6406860311 Enrollment ID: O20060131000246

Provider Name	Imagine Physical Therapy On Daniel Island Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1972770733 PECOS PAC ID: 9133294077 Enrollment ID: O20080812000702

Provider Name	Imagine Physical Therapy In West Ashley Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1588977862 PECOS PAC ID: 6800072562 Enrollment ID: O20110512000800

Provider Name	Imagine Physical Therapy North Rhett Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033518766 PECOS PAC ID: 4082939723 Enrollment ID: O20150220001591

Provider Name	Imagine Physical Therapy Old Village Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477937662 PECOS PAC ID: 4587972450 Enrollment ID: O20150928000781

Provider Name	Foundation Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1124743331 PECOS PAC ID: 5597136507 Enrollment ID: O20230130000319

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. Samuel Collins 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
Samuel Collins Jackson, DPT 5111 N Rhett Ave, North Charleston, SC 29405-4219 Ph: (843) 804-9478	Samuel Collins Jackson, DPT 1125 Landau Ln, Mt Pleasant, SC 29466-7300 Ph: (843) 375-5448

Reviews and Comments

Physical Therapist in Mt Pleasant, SC

Lindsey K Capps, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 586 Lone Tree Dr, Mt Pleasant, SC 29464 Phone: 843-884-7880 Fax: 843-884-6635
Mr. Joshua Christian Long, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1469 Appling Dr, Mt Pleasant, SC 29464 Phone: 843-614-7429
Victoria Simon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1106 Chuck Dawley Blvd Ste 200, Mt Pleasant, SC 29464 Phone: 843-849-1551 Fax: 843-654-8846
Kathryn Stark, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 900 Johnnie Dodds Blvd Ste 100, Mt Pleasant, SC 29464 Phone: 843-606-1490
Ms. Shelley Birnie, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 498 Wando Park Blvd, Ste 200, Mt Pleasant, SC 29464 Phone: 843-884-1118 Fax: 843-884-2434
Janie Crossland, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3409 Salterbeck St, Suite 202, Mt Pleasant, SC 29466 Phone: 843-972-0671
Brandon Starcher, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3301 Stockdale St, Suite B, Mt Pleasant, SC 29466 Phone: 843-375-5448 Fax: 843-628-6624

Samuel Collins Jackson, DPT - Medicare Physical Therapist in Mt Pleasant, SC