Jackson Preferred Rehab Llc is a
Physical Therapist based in Homer, Michigan. Jackson Preferred Rehab Llc is licensed to practice in Michigan (license number KK007396) and their current practice location is
119 W Main St, Homer, Michigan. It can be reached at their office (for appointments etc.) via phone at
(866) 568-3100.
NPI number for Jackson Preferred Rehab Llc is 1720265739 and their current mailing address is 119 W Main St, Homer, Michigan. Jackson Preferred Rehab Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1720265739.
Healthcare Provider's Profile
| Full Name | Jackson Preferred Rehab Llc |
|---|
| Type | Facility |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 119 W Main St, Homer, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720265739
- Provider Enumeration Date: 01/22/2008
- Last Update Date: 02/02/2009
Medical Identifiers
Medical identifiers for Jackson Preferred Rehab Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720265739 | NPI | - | NPPES |
| 650C807050 | Other | MI | BLUE CROSS |
| KK007396 | Other | MI | LIC NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | KK007396 (Michigan) | Primary |
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. Jackson Preferred Rehab Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jackson Preferred Rehab Llc 119 W Main St, Homer, MI 49245-1023 Ph: (866) 568-3100 | Jackson Preferred Rehab Llc 119 W Main St, Homer, MI 49245-1023 Ph: (866) 568-3100 |
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