Jack Burg, in Monroe, MI - Medicare Physical Therapist Provider

Jack Burg, is a medicare enrolled "Physical Therapist" provider in Monroe, Michigan. His current practice location is 1048 N Monroe St, Monroe, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 241-1400.

Jack Burg is licensed to practice in Michigan (license number 5501302987) 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 1104604305.

Contact Information

	Jack Burg,
	1048 N Monroe St, Monroe, MI 48162-3113
	(734) 241-1400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jack Burg
Gender	Male
Speciality	Physical Therapist
Location	1048 N Monroe St, Monroe, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104604305
Provider Enumeration Date: 09/19/2023
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 7618321894
Enrollment ID: I20230921001024

Medical Identifiers

Medical identifiers for Jack Burg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104604305	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501302987 (Michigan)	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. Jack Burg allows following entities to bill medicare on his behalf.

Provider Name	Benchmark Physical Therapy Michigan Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629740188 PECOS PAC ID: 4880087766 Enrollment ID: O20220217001560

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. Jack Burg 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
Jack Burg, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () -	Jack Burg, 1048 N Monroe St, Monroe, MI 48162-3113 Ph: (734) 241-1400

Reviews and Comments

Physical Therapist in Monroe, MI

Jana Christine Ruddy, PT - PHYSICAL THERAP Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 407 S. Telegraph Rd., Monroe, MI 48161 Phone: 734-240-1950 Fax: 734-240-1955
Dr. Katelyn E Grau, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Stewart Rd, Monroe, MI 48162 Phone: 734-240-1820
Mrs. Malgorzata Agnieszka Latala, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1038 N Monroe St, Monroe, MI 48162 Phone: 734-242-0101
Ronald D Mashni, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1291 N Telegraph Rd, Monroe, MI 48162 Phone: 734-243-0300 Fax: 734-243-3066
Mr. Bradly Todd Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Telegraph Rd, Monroe, MI 48161 Phone: 734-240-1950
Barbara Mcneil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Telegraph Rd, Monroe, MI 48161 Phone: 734-240-1950 Fax: 734-240-1955

Jack Burg, - Medicare Physical Therapist in Monroe, MI