Jacob Wilson, in Fairfield, IA - Medicare Physical Therapy Provider

Jacob Wilson, is a medicare enrolled "Physical Therapist" provider in Fairfield, Iowa. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Advance Physical Therapy And Sports Medicine Of Chatham Llc and his current practice location is 2000 S Main St, Fairfield, Iowa. You can reach out to his office (for appointments etc.) via phone at (641) 472-4111.

Jacob Wilson is licensed to practice in Washington (license number PT60960737) 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 1255849626.

Contact Information

	Jacob Wilson,
	2000 S Main St, Fairfield, IA 52556-9572
	(641) 472-4111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Wilson
Gender	Male
Speciality	Physical Therapy
Experience	7 Years
Location	2000 S Main St, Fairfield, Iowa
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 Wilson graduated from medical school in 2017

NPI Data:

NPI Number: 1255849626
Provider Enumeration Date: 01/18/2018
Last Update Date: 07/03/2019

Medicare PECOS Information:

PECOS PAC ID: 5395071757
Enrollment ID: I20211221000627

Medical Identifiers

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

Identifier	Type	State	Issuer
1255849626	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT60960737 (Washington)	Primary
225100000X	Physical Therapist	090148 (Iowa)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advance Physical Therapy And Sports Medicine Of Chatham Llc	8426124561	4

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 Wilson allows following entities to bill medicare on his behalf.

Provider Name	Advance Physical Therapy & Sports Medicine Of Chatham Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1376706234 PECOS PAC ID: 8426124561 Enrollment ID: O20080915000011

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 Wilson 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 Wilson, 1020 945e St, Mount Sterling, IL 62353-4410 Ph: (217) 257-0369	Jacob Wilson, 2000 S Main St, Fairfield, IA 52556-9572 Ph: (641) 472-4111

Reviews and Comments

Physical Therapist in Fairfield, IA

Megan Thompson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 806 E Fillmore Ave, Fairfield, IA 52556 Phone: 641-919-2427
Dr. Bryndee Leigh Boheman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 S Main St, Fairfield, IA 52556 Phone: 641-472-4111
Mason James Ellis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1401 S Main St Ste 104, Fairfield, IA 52556 Phone: 641-209-1446
Brian Peterson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 907 E Briggs Ave, Fairfield, IA 52556 Phone: 641-469-4353 Fax: 641-469-4288
Donna Jean Williams, PT, CWS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 South Main Street, Fairfield, IA 52556 Phone: 641-472-4111
Christina Jane Meeker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Highland St, Fairfield, IA 52556 Phone: 641-469-4353

Jacob Wilson, - Medicare Physical Therapist in Fairfield, IA