Jacob Carlson, in Fort Benning, GA - Medicare Physical Therapist In Private Practice Provider

Jacob Carlson, is a medicare enrolled "Physical Therapist" provider in Fort Benning, Georgia. He graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Foothills Sports Medicine And Rehabilitation Llc and his current practice location is 6600 Van Aalst Blvd, Fort Benning, Georgia. You can reach out to his office (for appointments etc.) via phone at (762) 408-2273.

Jacob Carlson is licensed to practice in South Carolina (license number 12528) 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 1710761069.

Contact Information

	Jacob Carlson,
	6600 Van Aalst Blvd, Fort Benning, GA 31905-2102
	(762) 408-2273
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Carlson
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	3 Years
Location	6600 Van Aalst Blvd, Fort Benning, Georgia
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:

Jacob Carlson graduated from medical school in 2023

NPI Data:

NPI Number: 1710761069
Provider Enumeration Date: 08/18/2023
Last Update Date: 05/21/2026

Medicare PECOS Information:

PECOS PAC ID: 4981067527
Enrollment ID: I20240923001071

Medical Identifiers

Medical identifiers for Jacob Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710761069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12528 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Foothills Sports Medicine And Rehabilitation Llc	2668457979	168

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. Jacob Carlson allows following entities to bill medicare on his behalf.

Provider Name	Foothills Sports Medicine & Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558318170 PECOS PAC ID: 2668457979 Enrollment ID: O20040621001886

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. Jacob Carlson 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
Jacob Carlson, 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 Ph: (762) 408-2273	Jacob Carlson, 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 Ph: (762) 408-2273

Reviews and Comments

Physical Therapist in Fort Benning, GA

James Joseph Foster Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-0455
Keiven Gerard Harris, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd # 9250, Fort Benning, GA 31905 Phone: 706-626-0431
James Meredith Samson Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 706-544-9063 Fax: 706-544-5670
Brandon Kristopher Tutt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-2273
Dr. Randall William Sides, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905 Phone: 850-945-6643
Dr. Lucinda Marie Majors, DPT, OCS, CERT MDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 706-544-9063
Jonathan Michael Cree, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-0455

Jacob Carlson, - Medicare Physical Therapist in Fort Benning, GA