Jacob Van Wart, DPT in Jamestown, NY - Medicare Physical Therapist Provider

Jacob Van Wart, DPT is a medicare enrolled "Physical Therapist" provider in Jamestown, New York. His current practice location is 75 Jones And Gifford Ave, Jamestown, New York. You can reach out to his office (for appointments etc.) via phone at (716) 483-2344.

Jacob Van Wart is licensed to practice in New York (license number P122236) 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 1609553270.

Contact Information

	Jacob Van Wart, DPT
	75 Jones And Gifford Ave, Jamestown, NY 14701-2828
	(716) 483-2344
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Van Wart
Gender	Male
Speciality	Physical Therapist
Location	75 Jones And Gifford Ave, Jamestown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609553270
Provider Enumeration Date: 07/05/2023
Last Update Date: 09/16/2025

Medicare PECOS Information:

PECOS PAC ID: 2769824507
Enrollment ID: I20240524002799

Medical Identifiers

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

Identifier	Type	State	Issuer
1609553270	NPI	-	NPPES
07956816	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P122236 (New York)	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 Van Wart allows following entities to bill medicare on his behalf.

Provider Name	Leger Therapy Services Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659327666 PECOS PAC ID: 6406853415 Enrollment ID: O20220824002986

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 Van Wart 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 Van Wart, DPT 75 Jones And Gifford Ave, Jamestown, NY 14701-2828 Ph: (716) 483-2344	Jacob Van Wart, DPT 75 Jones And Gifford Ave, Jamestown, NY 14701-2828 Ph: (716) 483-2344

Reviews and Comments

Physical Therapist in Jamestown, NY

Mr. Michael Carl Peterson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2850 Mitchell Rd, Jamestown, NY 14701 Phone: 716-487-1713
Akashdeep Kaur-brar, Physical Therapist Medicare: Medicare Enrolled Practice Location: 774 Fairmount Ave, Jamestown, NY 14701 Phone: 716-665-1166
Raymond Lukach, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Jones And Gifford Ave, Jamestown, NY 14701 Phone: 716-661-1541
Mr. Jacob Christopher Mcbride, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 S Main Street, Suite 220, Jamestown, NY 14701 Phone: 716-488-2322 Fax: 716-488-2574
William Bowler, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Jones And Gifford Ave, Jamestown, NY 14701 Phone: 716-661-1541
Megan E Mckinley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 75 Jones And Gifford Ave, Jamestown, NY 14701 Phone: 716-661-1541
Leandra Nicole St. Pierre, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 S Main St, Suite 220, Jamestown, NY 14701 Phone: 716-488-2322 Fax: 716-488-2574

Jacob Van Wart, DPT - Medicare Physical Therapist in Jamestown, NY