Jessica Rae Rodriguez, PT, DPT in Leavenworth, KS - Medicare Physical Therapist Provider

Jessica Rae Rodriguez, PT, DPT is a medicare enrolled "Physical Therapist" provider in Leavenworth, Kansas. Her current practice location is 721 Metropolitan Ave Ste C, Leavenworth, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 250-5452.

Jessica Rae Rodriguez is licensed to practice in Kansas (license number 11-06966) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225582067.

Contact Information

	Jessica Rae Rodriguez, PT, DPT
	721 Metropolitan Ave Ste C, Leavenworth, KS 66048-1403
	(913) 250-5452
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Rae Rodriguez
Gender	Female
Speciality	Physical Therapist
Location	721 Metropolitan Ave Ste C, Leavenworth, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225582067
Provider Enumeration Date: 08/10/2016
Last Update Date: 11/02/2022

Medicare PECOS Information:

PECOS PAC ID: 0143699710
Enrollment ID: I20221205000781

Medical Identifiers

Medical identifiers for Jessica Rae Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225582067	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11-06966 (Kansas)	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. Jessica Rae Rodriguez allows following entities to bill medicare on her behalf.

Provider Name	Deborah A King Ma & Associates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942408950 PECOS PAC ID: 9931091485 Enrollment ID: O20050721001101

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 Rae Rodriguez 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 Rae Rodriguez, PT, DPT 77 6th Infantry Rd, Fort Leavenworth, KS 66027-1146 Ph: (706) 251-5311	Jessica Rae Rodriguez, PT, DPT 721 Metropolitan Ave Ste C, Leavenworth, KS 66048-1403 Ph: (913) 250-5452

Reviews and Comments

Physical Therapist in Leavenworth, KS

Marilyn Walls, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St Rm 401a, Leavenworth, KS 66048 Phone: 913-758-4280 Fax: 913-758-4280
Andrew Doyle, Physical Therapist Medicare: Medicare Enrolled Practice Location: 721 Metropolitan Ave, Leavenworth, KS 66048 Phone: 913-250-5452
Alison Fratzke, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 721 Metropolitan Ave Ste C, Leavenworth, KS 66048 Phone: 913-250-5452
Dale Edward Walker, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4101 South 4th, Leavenworth, KS 66048 Phone: 913-682-2000
Scott A Smith, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 Fax: 913-758-4280
Kathleen M Kinerney, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000

Jessica Rae Rodriguez, PT, DPT - Medicare Physical Therapist in Leavenworth, KS