Dr Jackson Thomas Pruett, PT, DPT in Fayetteville, NC - Medicare Physical Therapy Provider

Dr Jackson Thomas Pruett, PT, DPT is a medicare enrolled "Physical Therapist" provider in Fayetteville, North Carolina. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Benchmark Physical Therapy Of North Carolina Llc and his current practice location is 5860 Yadkin Rd, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 491-5164.

Dr Jackson Thomas Pruett is licensed to practice in North Carolina (license number P19589) 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 1013532498.

Contact Information

	Dr Jackson Thomas Pruett, PT, DPT
	5860 Yadkin Rd, Fayetteville, NC 28303-2668
	(910) 491-5164
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jackson Thomas Pruett
Gender	Male
Speciality	Physical Therapy
Experience	5 Years
Location	5860 Yadkin Rd, Fayetteville, North Carolina
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:

Dr Jackson Thomas Pruett graduated from medical school in 2019

NPI Data:

NPI Number: 1013532498
Provider Enumeration Date: 06/11/2020
Last Update Date: 06/11/2020

Medicare PECOS Information:

PECOS PAC ID: 3577979301
Enrollment ID: I20210303000153

Medical Identifiers

Medical identifiers for Dr Jackson Thomas Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013532498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P19589 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Benchmark Physical Therapy Of North Carolina Llc	1052609278	153

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. Dr Jackson Thomas Pruett allows following entities to bill medicare on his behalf.

Provider Name	Benchmark Physical Therapy Of North Carolina Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1356894604 PECOS PAC ID: 1052609278 Enrollment ID: O20161004000926

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. Dr Jackson Thomas Pruett 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
Dr Jackson Thomas Pruett, PT, DPT 953 Butler Dr, Erwin, NC 28339-8519 Ph: (919) 451-0212	Dr Jackson Thomas Pruett, PT, DPT 5860 Yadkin Rd, Fayetteville, NC 28303-2668 Ph: (910) 491-5164

Reviews and Comments

Physical Therapist in Fayetteville, NC

Miss Roxanne King, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Pamalee Drive, Fayetteville, NC 28303 Phone: 910-488-2295
Kristi Wilkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335
Dale Anthony Gallo Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4140 Ferncreek Dr Ste 802, Fayetteville, NC 28314 Phone: 910-484-2171 Fax: 910-484-4568
Michael Andrew Slack, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1712 Owen Dr, Fayetteville, NC 28304 Phone: 910-483-9300 Fax: 910-483-9302
Matthew Gregory Prindle, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3401 Village Dr Ste 101, Fayetteville, NC 28304 Phone: 910-483-9300 Fax: 910-483-9302
Casandra Heather Canterbury, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Executive Pl, Fayetteville, NC 28305 Phone: 910-423-5550 Fax: 910-423-5552
Tobi Alyssa Fuller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335

Dr Jackson Thomas Pruett, PT, DPT - Medicare Physical Therapist in Fayetteville, NC