Dr Nicole R Jackson, DPT - Medicare Physical Therapist in Brentwood, MO

Dr Nicole R Jackson, DPT is a medicare enrolled "Physical Therapist" provider in Brentwood, Missouri. Her current practice location is 1335 Strassner Dr, Brentwood, Missouri. You can reach out to her office (for appointments etc.) via phone at (313) 289-0178.

Dr Nicole R Jackson is licensed to practice in Virginia (license number 2305205164) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033972104.

Contact Information

Dr Nicole R Jackson, DPT
1335 Strassner Dr,
Brentwood, MO 63144-1872
(313) 289-0178
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Nicole R Jackson
GenderFemale
SpecialityPhysical Therapist
Location1335 Strassner Dr, Brentwood, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033972104
  • Provider Enumeration Date: 02/01/2024
  • Last Update Date: 02/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9931543360
  • Enrollment ID: I20240214000040

Medical Identifiers

Medical identifiers for Dr Nicole R Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033972104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2305205164 (Virginia)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. Dr Nicole R Jackson allows following entities to bill medicare on her behalf.
Provider NameEmpowerme Rehabilitation Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1881366730
PECOS PAC ID: 2769723162
Enrollment ID: O20211019001479

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 Nicole R 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 AddressPractice Location Address
Dr Nicole R Jackson, DPT
1335 Strassner Dr,
Brentwood, MO 63144-1872

Ph: () -
Dr Nicole R Jackson, DPT
1335 Strassner Dr,
Brentwood, MO 63144-1872

Ph: (313) 289-0178

Reviews and Comments


Physical Therapist in Brentwood, MO

Margaret E Braida, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144
Phone: 314-961-3804    Fax: 314-961-1147
Jacqueline D Schranck, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2937 S Brentwood Blvd, Suite 105, Brentwood, MO 63144
Phone: 314-961-3804    Fax: 314-961-1147
Whitney Korgan, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2726 Bremerton Rd, Brentwood, MO 63144
Phone: 636-515-3859    
Mr. Brian Michael Graf, PT ATC
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144
Phone: 314-961-3804    Fax: 314-961-1147
Kamrun N Alam, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8228 Brentwood Industrial Dr, Brentwood, MO 63144
Phone: 314-218-8966    Fax: 314-781-3448
Holly M Banark, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2937 S Brentwood Blvd, Brentwood, MO 63144
Phone: 314-961-3804    Fax: 314-961-1147

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.