Jesse Edwards, in Fayetteville, AR - Medicare Physical Therapist Provider

Jesse Edwards, is a medicare enrolled "Physical Therapist" provider in Fayetteville, Arkansas. His current practice location is 1125 N College Ave # 100, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 713-8630.

Jesse Edwards is licensed to practice in Arkansas (license number PT4623) 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 1720771330.

Contact Information

	Jesse Edwards,
	1125 N College Ave # 100, Fayetteville, AR 72703-1908
	(479) 713-8630
	(479) 713-8639

Map and Direction

Healthcare Provider's Profile

Full Name	Jesse Edwards
Gender	Male
Speciality	Physical Therapist
Location	1125 N College Ave # 100, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720771330
Provider Enumeration Date: 05/30/2023
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 2668820143
Enrollment ID: I20231121003329

Medical Identifiers

Medical identifiers for Jesse Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720771330	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT4623 (Arkansas)	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. Jesse Edwards allows following entities to bill medicare on his behalf.

Provider Name	University Of Arkansas For Medical Sciences
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706

Provider Name	University Of Arkansas For Medical Sciences
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1427461045 PECOS PAC ID: 4082528955 Enrollment ID: O20141117000407

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. Jesse Edwards 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
Jesse Edwards, 4301 W Markham St # 783, Little Rock, AR 72205-7101 Ph: (501) 686-8000	Jesse Edwards, 1125 N College Ave # 100, Fayetteville, AR 72703-1908 Ph: (479) 713-8630

Reviews and Comments

Physical Therapist in Fayetteville, AR

Karen Hairston, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439
Fernando Castillo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3383 N Mana Ct Ste 201, Fayetteville, AR 72703 Phone: 479-571-6780
Kymbrly Hannah, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439
Ms. Heather Kristine Vaughn, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-713-8630 Fax: 479-713-8639
Megan Landry Wilson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1923 E Joyce Blvd, Fayetteville, AR 72703 Phone: 479-442-7220
Travis Alexander, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 Phone: 479-442-7473
Winston Tyler Futrell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 Phone: 479-595-0711

Jesse Edwards, - Medicare Physical Therapist in Fayetteville, AR