Jessie L Robertson, PT, DPT is a medicare enrolled "Physical Therapist" provider in Pleasanton, Kansas. Her current practice location is
11155 Tucker Rd, Pleasanton, Kansas. You can reach out to her office (for appointments etc.) via phone at
(888) 777-9170.
Jessie L Robertson is licensed to practice in Kansas (license number 11-05578) 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 1770011249.
Healthcare Provider's Profile
| Full Name | Jessie L Robertson |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 11155 Tucker Rd, Pleasanton, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770011249
- Provider Enumeration Date: 05/30/2017
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153686332
- Enrollment ID: I20180518000605
Medical Identifiers
Medical identifiers for Jessie L Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770011249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 11-05578 (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. Jessie L Robertson allows following entities to bill medicare on her behalf.
| Provider Name | Cotton O'neil Clinic Revocable Trust |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1811944457
PECOS PAC ID: 5496659195
Enrollment ID: O20031124000674 |
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| Provider Name | Community Health Center Of Southeast Kansas Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1669474425
PECOS PAC ID: 7911816392
Enrollment ID: O20040209000163 |
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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. Jessie L Robertson 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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Jessie L Robertson, PT, DPT
Po Box 1832,
Pittsburg, KS 66762-1832
Ph: (888) 777-9170 | Jessie L Robertson, PT, DPT
11155 Tucker Rd,
Pleasanton, KS 66075-8401
Ph: (888) 777-9170 |
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