Kelly Elizabeth Jackson, PT, DPT in Clackamas, OR - Medicare Physical Therapist In Private Practice Provider

Kelly Elizabeth Jackson, PT, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Clackamas, Oregon. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Oregon Luna Care Physical Therapy Llc, Kaiser Foundation Health Plan Of The Northwest, Kaiser Foundation Health Plan Of The Northwest and her current practice location is 10100 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 813-2000.

Kelly Elizabeth Jackson is licensed to practice in Oregon (license number 62508) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053830968.

Contact Information

	Kelly Elizabeth Jackson, PT, DPT
	10100 Se Sunnyside Rd, Clackamas, OR 97015-8970
	(503) 813-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Elizabeth Jackson
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	8 Years
Location	10100 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Elizabeth Jackson graduated from medical school in 2017

NPI Data:

NPI Number: 1053830968
Provider Enumeration Date: 09/12/2017
Last Update Date: 03/05/2025

Medicare PECOS Information:

PECOS PAC ID: 2163788969
Enrollment ID: I20171110002317

Medical Identifiers

Medical identifiers for Kelly Elizabeth Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053830968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	62508 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oregon Luna Care Physical Therapy Llc	5597178087	32
Kaiser Foundation Health Plan Of The Northwest	5799688230	1498
Kaiser Foundation Health Plan Of The Northwest	5799688230	1498

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. Kelly Elizabeth Jackson allows following entities to bill medicare on her behalf.

Provider Name	Kaiser Foundation Health Plan Of The Northwest
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

Provider Name	North Lake Physical Therapy And Rehab Lp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316383201 PECOS PAC ID: 4082853825 Enrollment ID: O20130808000644

Provider Name	Oregon Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891397121 PECOS PAC ID: 5597178087 Enrollment ID: O20201229003062

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. Kelly Elizabeth 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
Kelly Elizabeth Jackson, PT, DPT 5403 N Harvard St, Portland, OR 97203-5208 Ph: () -	Kelly Elizabeth Jackson, PT, DPT 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (503) 813-2000

Reviews and Comments

Physical Therapist in Clackamas, OR

Brent Hammack, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000
Richard Bandy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11977 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-486-6944
Ashlee Baltich, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015 Phone: 503-215-2180
Abby Duval Grabowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015 Phone: 502-215-2110
Dr. Alain Denis Machtelinckx, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-6614
Sonja Creel, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015 Phone: 503-215-2085 Fax: 503-215-2185

Kelly Elizabeth Jackson, PT, DPT - Medicare Physical Therapist in Clackamas, OR