Jennifer Lynn Doctor, PT is a medicare enrolled "Physical Therapist" provider in Orcutt, California. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Phenix Therapies, Llc and her current practice location is
4869 S Bradley Rd, Ste 114, Orcutt, California. You can reach out to her office (for appointments etc.) via phone at
(805) 938-5320.
Jennifer Lynn Doctor is licensed to practice in California (license number PT42151) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609104801.
Healthcare Provider's Profile
| Full Name | Jennifer Lynn Doctor |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 30 Years |
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| Location | 4869 S Bradley Rd, Orcutt, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jennifer Lynn Doctor graduated from medical school in 1994
NPI Data:
- NPI Number: 1609104801
- Provider Enumeration Date: 11/27/2009
- Last Update Date: 10/07/2015
Medicare PECOS Information:
- PECOS PAC ID: 7012057326
- Enrollment ID: I20091217000454
Medical Identifiers
Medical identifiers for Jennifer Lynn Doctor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609104801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT42151 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Phenix Therapies, Llc | 0345556502 | 14 |
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. Jennifer Lynn Doctor allows following entities to bill medicare on her behalf.
| Provider Name | Phenix Therapies, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1548637069
PECOS PAC ID: 0345556502
Enrollment ID: O20150902001493 |
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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. Jennifer Lynn Doctor 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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Jennifer Lynn Doctor, PT
1106 Walnut St, Suite 110,
San Luis Obispo, CA 93401-2416
Ph: (805) 788-0805 | Jennifer Lynn Doctor, PT
4869 S Bradley Rd, Ste 114,
Orcutt, CA 93455-5065
Ph: (805) 938-5320 |
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