Charles Edmondson, DPT - Medicare Physical Therapist in Jackson, MS

Charles Edmondson, DPT is a medicare enrolled "Physical Therapist" provider in Jackson, Mississippi. His current practice location is 120 District Blvd Ste D102, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (769) 204-8222.

Charles Edmondson is licensed to practice in Mississippi (license number PT5987) 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 1770033987.

Contact Information

Charles Edmondson, DPT
120 District Blvd Ste D102,
Jackson, MS 39211-6382
(769) 204-8222
(769) 235-2751

Map and Direction




Healthcare Provider's Profile

Full NameCharles Edmondson
GenderMale
SpecialityPhysical Therapist
Location120 District Blvd Ste D102, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770033987
  • Provider Enumeration Date: 10/12/2016
  • Last Update Date: 10/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1658659628
  • Enrollment ID: I20161026000156

Medical Identifiers

Medical identifiers for Charles Edmondson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770033987NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT5987 (Mississippi)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. Charles Edmondson allows following entities to bill medicare on his behalf.
Provider NameAgilitas Usa Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1962417444
PECOS PAC ID: 3375454648
Enrollment ID: O20130219000317
Provider NameDrayer Physical Therapy Mississippi Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1952732448
PECOS PAC ID: 3274834858
Enrollment ID: O20160314001040

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. Charles Edmondson 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 AddressPractice Location Address
Charles Edmondson, DPT
800 Crescent Centre Dr Ste 300,
Franklin, TN 37067-7285

Ph: (615) 373-1350
Charles Edmondson, DPT
120 District Blvd Ste D102,
Jackson, MS 39211-6382

Ph: (769) 204-8222

Reviews and Comments


Physical Therapist in Jackson, MS

Charles David Herrington,
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Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202
Phone: 601-352-2273    Fax: 601-714-3415
Drayer Physical Therapy Mississippi Llc
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Practice Location: 120 District Blvd Ste D102, Jackson, MS 39211
Phone: 769-204-8222    Fax: 769-235-2751
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.