Jessie Lee Ralston, DPT in Saint Simons Island, GA - Medicare Physical Therapist Provider

Jessie Lee Ralston, DPT is a medicare enrolled "Physical Therapist" provider in Saint Simons Island, Georgia. Her current practice location is 212 Retreat Vlg, Saint Simons Island, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 638-1444.

Jessie Lee Ralston is licensed to practice in Florida (license number PT40235) 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 1659002228.

Contact Information

	Jessie Lee Ralston, DPT
	212 Retreat Vlg, Saint Simons Island, GA 31522-2403
	(912) 638-1444
	(912) 638-0077

Map and Direction

Healthcare Provider's Profile

Full Name	Jessie Lee Ralston
Gender	Female
Speciality	Physical Therapist
Location	212 Retreat Vlg, Saint Simons Island, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659002228
Provider Enumeration Date: 06/23/2022
Last Update Date: 05/26/2023

Medicare PECOS Information:

PECOS PAC ID: 7911373790
Enrollment ID: I20221025000450

Medical Identifiers

Medical identifiers for Jessie Lee Ralston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659002228	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP017798T (Georgia)	Secondary
225100000X	Physical Therapist	6225 (Oklahoma)	Secondary
225100000X	Physical Therapist	PT40235 (Florida)	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. Jessie Lee Ralston allows following entities to bill medicare on her behalf.

Provider Name	Redbud Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1710437306 PECOS PAC ID: 4486939949 Enrollment ID: O20170323001896

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. Jessie Lee Ralston 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
Jessie Lee Ralston, DPT Po Box 949, Rome, GA 30162-0949 Ph: (912) 638-1444	Jessie Lee Ralston, DPT 212 Retreat Vlg, Saint Simons Island, GA 31522-2403 Ph: (912) 638-1444

Reviews and Comments

Physical Therapist in Saint Simons Island, GA

Cathleen Vines, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 Retreat Vlg, Saint Simons Island, GA 31522 Phone: 912-638-1444 Fax: 912-638-0077
Meghan Goutremout, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 Retreat Vlg, Saint Simons Island, GA 31522 Phone: 912-638-1444 Fax: 912-638-0077
Emma Anne Summers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 Retreat Vlg, Saint Simons Island, GA 31522 Phone: 912-638-1444
Jocelyn Francesconi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 Retreat Vlg, Saint Simons Island, GA 31522 Phone: 912-638-1444 Fax: 912-638-0077
Jacqueline Diane Braga, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Renegar Way, Saint Simons Island, GA 31522 Phone: 912-219-2029
Mary R Parker Mpt Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 236 Florida St, Saint Simons Island, GA 31522 Phone: 912-242-3402 Fax: 912-638-2466
Megan Anne Taylor, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 212 Retreat Vlg, Saint Simons Island, GA 31522 Phone: 912-638-1444 Fax: 912-638-0077

Jessie Lee Ralston, DPT - Medicare Physical Therapist in Saint Simons Island, GA