Jared Johnston, in West Frankfort, IL - Medicare Physical Therapist Provider

Jared Johnston, is a medicare enrolled "Physical Therapist" provider in West Frankfort, Illinois. His current practice location is 502 W Saint Louis St, West Frankfort, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 932-8902.

Jared Johnston is licensed to practice in Illinois (license number 070.024174) 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 1104434604.

Contact Information

	Jared Johnston,
	502 W Saint Louis St, West Frankfort, IL 62896-1968
	(618) 932-8902
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jared Johnston
Gender	Male
Speciality	Physical Therapist
Location	502 W Saint Louis St, West Frankfort, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104434604
Provider Enumeration Date: 07/21/2020
Last Update Date: 07/21/2020

Medicare PECOS Information:

PECOS PAC ID: 0840692125
Enrollment ID: I20210708002744

Medical Identifiers

Medical identifiers for Jared Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104434604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070.024174 (Illinois)	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. Jared Johnston allows following entities to bill medicare on his behalf.

Provider Name	Empowerme Rehabilitation Illinois Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353

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. Jared Johnston 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
Jared Johnston, 502 W Saint Louis St, West Frankfort, IL 62896-1968 Ph: (618) 932-8902	Jared Johnston, 502 W Saint Louis St, West Frankfort, IL 62896-1968 Ph: (618) 932-8902

Reviews and Comments

Physical Therapist in West Frankfort, IL

Jeffrey Fox, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 326 E Main St, West Frankfort, IL 62896 Phone: 618-937-6204 Fax: 618-937-6204
Julie Kristen Freeman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 502 W Saint Louis St Ste 3, West Frankfort, IL 62896 Phone: 618-937-6200 Fax: 618-937-6204
Laura L Roach, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11998 Stiritz Rd, West Frankfort, IL 62896 Phone: 618-967-1336
Mr. Kevin Dale Griggs, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 502 W Saint Louis St, Suite 5, West Frankfort, IL 62896 Phone: 618-937-6200 Fax: 618-937-6204

Jared Johnston, - Medicare Physical Therapist in West Frankfort, IL