Jasper Rehab Llc is a medicare enrolled "Clinic/center - Rehabilitation" provider in Erie, Pennsylvania. Their current practice location is
502 W 7th St Ste 100, Erie, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at
(929) 328-6432.
Jasper Rehab Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Jasper Rehab Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1073231015.
Healthcare Provider's Profile
| Full Name | Jasper Rehab Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation |
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| Location | 502 W 7th St Ste 100, Erie, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073231015
- Provider Enumeration Date: 08/16/2022
- Last Update Date: 08/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 1052788874
- Enrollment ID: O20221108003068
Medical Identifiers
Medical identifiers for Jasper Rehab Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073231015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (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.
Jasper Rehab Llc acts as a billing entity for following providers:
| Provider Name | Gena L Rang |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1548560931
PECOS PAC ID: 2466631072
Enrollment ID: I20110128000516 |
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| Provider Name | Christine M. Angstadt |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1629277983
PECOS PAC ID: 4880832641
Enrollment ID: I20130606000307 |
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| Provider Name | Tina Yeagley |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1699105577
PECOS PAC ID: 8022485846
Enrollment ID: I20221108003195 |
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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. Jasper Rehab Llc 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 |
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Jasper Rehab Llc
131 Marina Pointe Dr,
East Rockaway, NY 11518-2067
Ph: () - | Jasper Rehab Llc
502 W 7th St Ste 100,
Erie, PA 16502-1333
Ph: (929) 328-6432 |
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