Kaci Jackson, is a medicare enrolled "Physical Therapist" provider in Macon, Mississippi. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Encore Rehabilitation, Inc and her current practice location is
78 Hospital Rd, Macon, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 726-4231.
Kaci Jackson is licensed to practice in Mississippi (license number PT5726) 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 1255992525.
Healthcare Provider's Profile
| Full Name | Kaci Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist In Private Practice |
|---|
| Experience | 10 Years |
|---|
| Location | 78 Hospital Rd, Macon, Mississippi |
|---|
| 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:
- Kaci Jackson graduated from medical school in 2015
NPI Data:
- NPI Number: 1255992525
- Provider Enumeration Date: 06/26/2019
- Last Update Date: 06/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 4880045061
- Enrollment ID: I20240112000046
Medical Identifiers
Medical identifiers for Kaci Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255992525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT5726 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Encore Rehabilitation, Inc | 3577462126 | 164 |
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. Kaci Jackson allows following entities to bill medicare on her behalf.
| Provider Name | Encore Rehabilitation, Inc |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1033218524
PECOS PAC ID: 3577462126
Enrollment ID: O20121106000516 |
|---|
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. Kaci Jackson 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 |
|---|
Kaci Jackson,
711 Avignon Dr,
Ridgeland, MS 39157-5120
Ph: (601) 605-6777 | Kaci Jackson,
78 Hospital Rd,
Macon, MS 39341-2490
Ph: (662) 726-4231 |
Reviews and Comments