Jessica Granger Clark, in Ruston, LA - Medicare Physical Therapist In Private Practice Provider

Jessica Granger Clark, is a medicare enrolled "Physical Therapist" provider in Ruston, Louisiana. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Jackson Parish Therapy Center, Llc, Jackson Parish Therapy Center, Llc and her current practice location is 1701 Commerce St, Ruston, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 224-8994.

Jessica Granger Clark is licensed to practice in South Carolina (license number 9612) 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 1942864582.

Contact Information

	Jessica Granger Clark,
	1701 Commerce St, Ruston, LA 71270-6659
	(318) 224-8994
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Granger Clark
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	9 Years
Location	1701 Commerce St, Ruston, Louisiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessica Granger Clark graduated from medical school in 2016

NPI Data:

NPI Number: 1942864582
Provider Enumeration Date: 04/29/2019
Last Update Date: 03/25/2025

Medicare PECOS Information:

PECOS PAC ID: 4385066786
Enrollment ID: I20200611002411

Medical Identifiers

Medical identifiers for Jessica Granger Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942864582	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	9612 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jackson Parish Therapy Center, Llc	8022048867	24
Jackson Parish Therapy Center, Llc	8022048867	24

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. Jessica Granger Clark allows following entities to bill medicare on her behalf.

Provider Name	Jackson Parish Therapy Center, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891794491 PECOS PAC ID: 8022048867 Enrollment ID: O20050822000213

Provider Name	Therateam Outpatient Services, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821333055 PECOS PAC ID: 5597995233 Enrollment ID: O20140225002228

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. Jessica Granger Clark 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
Jessica Granger Clark, 1110 Highway 556, Choudrant, LA 71227-9790 Ph: () -	Jessica Granger Clark, 1701 Commerce St, Ruston, LA 71270-6659 Ph: (318) 224-8994

Reviews and Comments

Physical Therapist in Ruston, LA

Gregory Medlin, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1701 Commerce St, Ruston, LA 71270 Phone: 318-224-8994
Anna Mitchell Cox, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 143 Woodstone Dr, Ruston, LA 71270 Phone: 318-245-3312
Rock Island Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 927 N Trenton St, Ruston, LA 71270 Phone: 318-513-3008 Fax: 318-513-3009
Dan Dupree, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1923 Farmerville Hwy, Ruston, LA 71270 Phone: 318-255-9601 Fax: 318-255-7971
Joseph P Khoury, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 N Monroe St, Ruston, LA 71270 Phone: 318-251-2995
Adele Upshaw, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1923 Farmerville Hwy, Ruston, LA 71270 Phone: 318-255-9601
Stephen Luke Ramsey, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1701 Commerce St, Ruston, LA 71270 Phone: 318-224-8994 Fax: 318-224-7094

Jessica Granger Clark, - Medicare Physical Therapist in Ruston, LA