Brandi Jackson, DPT is a medicare enrolled "Physical Therapist" provider in South Weber, Utah. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Orthopaedic And Neurological Rehab Inc and her current practice location is
2572 E South Weber Dr Ste 5, South Weber, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 479-7045.
Brandi Jackson is licensed to practice in * (Not Available) (license number ) 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 1316406747.
Healthcare Provider's Profile
| Full Name | Brandi Jackson |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 7 Years |
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| Location | 2572 E South Weber Dr Ste 5, South Weber, Utah |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brandi Jackson graduated from medical school in 2018
NPI Data:
- NPI Number: 1316406747
- Provider Enumeration Date: 03/15/2019
- Last Update Date: 03/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 0941674311
- Enrollment ID: I20230327000517
Medical Identifiers
Medical identifiers for Brandi Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316406747 | NPI | - | NPPES |
| 11189504-2401 | Other | UT | PT LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Orthopaedic And Neurological Rehab Inc | 6507159126 | 368 |
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. Brandi Jackson allows following entities to bill medicare on her behalf.
| Provider Name | Orthopaedic And Neurological Rehab Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1225496540
PECOS PAC ID: 6507159126
Enrollment ID: O20200930001509 |
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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. Brandi 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 |
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Brandi Jackson, DPT
Po Box 711185,
Salt Lake City, UT 84171-1185
Ph: () - | Brandi Jackson, DPT
2572 E South Weber Dr Ste 5,
South Weber, UT 84405-9550
Ph: (801) 479-7045 |
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