Jeremy Stephenson, in Russell, KY - Medicare Physical Therapist Provider

Jeremy Stephenson, is a medicare enrolled "Physical Therapist" provider in Russell, Kentucky. His current practice location is 1451 Diederich Blvd, Russell, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 836-6683.

Jeremy Stephenson is licensed to practice in Kentucky (license number 006678) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215470125.

Contact Information

	Jeremy Stephenson,
	1451 Diederich Blvd, Russell, KY 41169-1718
	(606) 836-6683
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy Stephenson
Gender	Male
Speciality	Physical Therapist
Location	1451 Diederich Blvd, Russell, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215470125
Provider Enumeration Date: 11/24/2016
Last Update Date: 12/04/2023

Medicare PECOS Information:

PECOS PAC ID: 8022447671
Enrollment ID: I20200404000105

Medical Identifiers

Medical identifiers for Jeremy Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215470125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	004165 (West Virginia)	Secondary
225100000X	Physical Therapist	006678 (Kentucky)	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. Jeremy Stephenson allows following entities to bill medicare on his behalf.

Provider Name	Bodyworx Physical Therapy & Chiropractic Wellness Center Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1598819468 PECOS PAC ID: 3870510142 Enrollment ID: O20240418003780

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. Jeremy Stephenson 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
Jeremy Stephenson, 1451 Diederich Blvd, Russell, KY 41169-1718 Ph: (606) 836-6683	Jeremy Stephenson, 1451 Diederich Blvd, Russell, KY 41169-1718 Ph: (606) 836-6683

Reviews and Comments

Physical Therapist in Russell, KY

Anita Frazier-brooks, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 452 Bluebird Dr, Russell, KY 41169 Phone: 606-922-2596
Jasmine Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1451 Diederich Blvd, Russell, KY 41169 Phone: 606-836-6683
Nicholas Dellaflora, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1490 Diederich Blvd, Russell, KY 41169 Phone: 606-833-9444 Fax: 606-833-9442

Jeremy Stephenson, - Medicare Physical Therapist in Russell, KY