Jacob Lee Mundy, in Jasper, IN - Medicare Physical Therapy Provider

Jacob Lee Mundy, is a medicare enrolled "Physical Therapist" provider in Jasper, Indiana. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Norris And Love Orthopaedic And Sports Pc and his current practice location is 1900 Saint Charles St, Jasper, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 639-9216.

Jacob Lee Mundy is licensed to practice in Indiana (license number 05014242A) 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 1154095578.

Contact Information

	Jacob Lee Mundy,
	1900 Saint Charles St, Jasper, IN 47546-9145
	(812) 639-9216
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Lee Mundy
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	1900 Saint Charles St, Jasper, Indiana
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 Lee Mundy graduated from medical school in 2021

NPI Data:

NPI Number: 1154095578
Provider Enumeration Date: 08/09/2021
Last Update Date: 08/09/2021

Medicare PECOS Information:

PECOS PAC ID: 2466856398
Enrollment ID: I20210813001734

Medical Identifiers

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

Identifier	Type	State	Issuer
1154095578	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05014242A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Norris And Love Orthopaedic And Sports Pc	4981695228	13

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 Lee Mundy allows following entities to bill medicare on his behalf.

Provider Name	Norris & Love Orthopaedic & Sports Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376507798 PECOS PAC ID: 4981695228 Enrollment ID: O20040524001064

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 Lee Mundy 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 Lee Mundy, 1550 Timber Line Dr, Huntingburg, IN 47542-8001 Ph: (812) 639-9216	Jacob Lee Mundy, 1900 Saint Charles St, Jasper, IN 47546-9145 Ph: (812) 639-9216

Reviews and Comments

Physical Therapist in Jasper, IN

Legacy Therapy And Rehabilitation Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1850 W State Road 56, Jasper, IN 47546 Phone: 812-556-3196
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Lisa Marie Mehringer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 W 9th St, Jasper, IN 47546 Phone: 812-996-0682
Sara Diane Harris, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Saint Charles Street, Jasper, IN 47546 Phone: 812-634-1211 Fax: 812-634-1582
Back Pain Institute Of Southern In Physical Therapist Medicare: Medicare Enrolled Practice Location: 1900 Saint Charles St, Jasper, IN 47546 Phone: 812-482-5390 Fax: 812-481-2821

Jacob Lee Mundy, - Medicare Physical Therapist in Jasper, IN