Jacob Terry, in Gladstone, MO - Medicare Physical Therapist Provider

Jacob Terry, is a medicare enrolled "Physical Therapist" provider in Gladstone, Missouri. His current practice location is 6403 N Prospect Ave # 450, Gladstone, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 683-8618.

Jacob Terry is licensed to practice in * (Not Available) (license number ) 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 1962195644.

Contact Information

	Jacob Terry,
	6403 N Prospect Ave # 450, Gladstone, MO 64119-1545
	(816) 683-8618
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Terry
Gender	Male
Speciality	Physical Therapist
Location	6403 N Prospect Ave # 450, Gladstone, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962195644
Provider Enumeration Date: 05/30/2023
Last Update Date: 05/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4981063617
Enrollment ID: I20230628004218

Medical Identifiers

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

Identifier	Type	State	Issuer
1962195644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Jacob Terry allows following entities to bill medicare on his behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357

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 Terry 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 Terry, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980	Jacob Terry, 6403 N Prospect Ave # 450, Gladstone, MO 64119-1545 Ph: (816) 683-8618

Reviews and Comments

Physical Therapist in Gladstone, MO

Emily L Lyons, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6403 N Prospect Ave Ste 450, Gladstone, MO 64119 Phone: 816-656-3698 Fax: 816-368-9488
Preferred Pt Gladstone Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Nw Englewood Rd, Ste. 110, Gladstone, MO 64118 Phone: 816-413-0900 Fax: 816-413-0737
Alexandra Witt, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Nw Englewood Rd Ste 110, Gladstone, MO 64118 Phone: 816-413-0900 Fax: 816-413-0737
Tayler James, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5601 Ne Antioch Rd Ste 4, Gladstone, MO 64119 Phone: 816-452-4488
Becky Phung, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Nw Englewood Rd, Gladstone, MO 64118 Phone: 816-413-0900 Fax: 816-413-0737
Rachel Nicholson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Nw Englewood Rd, Ste 110, Gladstone, MO 64118 Phone: 816-413-0900 Fax: 816-413-0737
Zachary J Schmith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Nw Englewood Rd Ste 110, Gladstone, MO 64118 Phone: 816-413-0900 Fax: 816-942-3944

Jacob Terry, - Medicare Physical Therapist in Gladstone, MO