Jordan Fukumoto, in Vancouver, WA - Medicare Physical Therapist Provider

Jordan Fukumoto, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Vancouver, Washington. His current practice location is 2621 Ne 134th St, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 859-3346.

Jordan Fukumoto is licensed to practice in * (Not Available) (license number ) 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 1457871493.

Contact Information

	Jordan Fukumoto,
	2621 Ne 134th St, Vancouver, WA 98686
	(360) 859-3346
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Fukumoto
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	2621 Ne 134th St, Vancouver, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457871493
Provider Enumeration Date: 06/21/2017
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 8022383744
Enrollment ID: I20230807002547

Medical Identifiers

Medical identifiers for Jordan Fukumoto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457871493	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	(* (Not Available))	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. Jordan Fukumoto allows following entities to bill medicare on his behalf.

Provider Name	Makai Mobile Rehab Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1649408683 PECOS PAC ID: 5193862175 Enrollment ID: O20091023000175

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. Jordan Fukumoto 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
Jordan Fukumoto, 2968 Nw Moda Way Apt 628, Hillsboro, OR 97124-7022 Ph: () -	Jordan Fukumoto, 2621 Ne 134th St, Vancouver, WA 98686 Ph: (360) 859-3346

Reviews and Comments

Physical Therapist in Vancouver, WA

Mr. Chi Yol Pak, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1510 Se 97th Ave, Vancouver, WA 98664 Phone: 360-936-1557
Brenda Zink, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Ne 112th Ave Ste 105, Vancouver, WA 98684 Phone: 360-567-2002
Bryce P Schuster, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 Broadway St, Vancouver, WA 98660 Phone: 360-823-0138 Fax: 360-823-0141
Amanda L Swearingen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Balanced Physical Therapy, 900 Ne 139th St Ste 102, Vancouver, WA 98685 Phone: 360-575-3611 Fax: 360-573-3880
Brian Schreck, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Ne Park Plaza Dr, Suite 246, Vancouver, WA 98684 Phone: 360-696-1070 Fax: 360-737-0200
Mr. Daniel F. L. Bisner I, Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 Ne 139th St Ste 102, Vancouver, WA 98685 Phone: 360-573-3611 Fax: 360-573-3880
Jacob Christopher Burggraff, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7409 Ne Hazel Dell Ave Ste 112, Vancouver, WA 98665 Phone: 360-597-4048

Jordan Fukumoto, - Medicare Physical Therapist in Vancouver, WA