Jake Fellow, DPT in San Diego, CA - Medicare Physical Therapist In Private Practice

Jake Fellow, DPT is a medicare enrolled "Physical Therapist" physician in San Diego, California. He graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Asis Physical Therapy Inc and his current practice location is 11848 Bernardo Plaza Ct Ste 100, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 217-2496.

Jake Fellow is licensed to practice in California (license number PT295188) 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 1033699541.

Contact Information

	Jake Fellow, DPT
	11848 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2417
	(858) 217-2496
	Not Available

Map and Direction

Physician's Profile

Full Name	Jake Fellow
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	7 Years
Location	11848 Bernardo Plaza Ct Ste 100, San Diego, California
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:

Jake Fellow graduated from medical school in 2018

NPI Data:

NPI Number: 1033699541
Provider Enumeration Date: 08/15/2018
Last Update Date: 08/15/2018

Medicare PECOS Information:

PECOS PAC ID: 7719224807
Enrollment ID: I20190128002408

Medical Identifiers

Medical identifiers for Jake Fellow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033699541	NPI	-	NPPES
295188	Other	CA	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	PT295188 (California)	Secondary
225100000X	Physical Therapist	PT295188 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Asis Physical Therapy Inc	1951455765	15

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. Jake Fellow allows following entities to bill medicare on his behalf.

Entity Name	Asis Physical Therapy Inc
Entity Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Entity Identifiers	NPI Number: 1023269222 PECOS PAC ID: 1951455765 Enrollment ID: O20090813000269

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. Jake Fellow 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
Jake Fellow, DPT 16631 Orchard Bend Rd, Poway, CA 92064-1713 Ph: (909) 260-7739	Jake Fellow, DPT 11848 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2417 Ph: (858) 217-2496

Jake Fellow, DPT - Medicare Physical Therapist In Private Practice in San Diego, CA