Jeb Kincannon, DPT in Palatka, FL - Medicare Physical Therapist Provider

Jeb Kincannon, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Palatka, Florida. His current practice location is 6500 Crill Ave Bldg 3, Palatka, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 325-1119.

Jeb Kincannon 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 1831964980.

Contact Information

	Jeb Kincannon, DPT
	6500 Crill Ave Bldg 3, Palatka, FL 32177-9231
	(386) 325-1119
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeb Kincannon
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	6500 Crill Ave Bldg 3, Palatka, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831964980
Provider Enumeration Date: 11/20/2023
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 2062921869
Enrollment ID: I20250603002721

Medical Identifiers

Medical identifiers for Jeb Kincannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831964980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	(* (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. Jeb Kincannon allows following entities to bill medicare on his behalf.

Provider Name	Revision Health Services Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659994911 PECOS PAC ID: 4981026523 Enrollment ID: O20200626001841

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. Jeb Kincannon 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
Jeb Kincannon, DPT Po Box 1473, St Augustine, FL 32085-1473 Ph: () -	Jeb Kincannon, DPT 6500 Crill Ave Bldg 3, Palatka, FL 32177-9231 Ph: (386) 325-1119

Reviews and Comments

Physical Therapist in Palatka, FL

Alison Brooks, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Saint Johns Ave, Palatka, FL 32177 Phone: 386-546-3379
Amanda Buckles, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 616 Oak St, Palatka, FL 32177 Phone: 386-312-0022 Fax: 386-312-0535
Julie Rene Collier, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 203 S Moody Rd, Palatka, FL 32177 Phone: 386-329-9905
Mr. Gaylain Lee Schumacher, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1062 S State Road 19, Suite 1, Palatka, FL 32177 Phone: 386-329-5576 Fax: 386-329-8922
Julie Catherine Grout, MPT,ATC, LAT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Zeagler Dr, Suite 401, Palatka, FL 32177 Phone: 904-755-8844
John Miles Frisvold, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3715 Crill Ave, Palatka, FL 32177 Phone: 386-329-2613 Fax: 386-329-2614
Kepler Enterprises, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Zeagler Dr, Palatka, FL 32177 Phone: 386-325-4077 Fax: 386-312-0938

Jeb Kincannon, DPT - Medicare Physical Therapist in Palatka, FL