Lisa M Jackowiak, PT in Jasper, GA - Medicare Physical Therapist Provider

Lisa M Jackowiak, PT is a medicare enrolled "Physical Therapist" provider in Jasper, Georgia. Her current practice location is 620 J L White Dr Ste 110, Jasper, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 692-9080.

Lisa M Jackowiak is licensed to practice in Georgia (license number PT016702) 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 1720301039.

Contact Information

	Lisa M Jackowiak, PT
	620 J L White Dr Ste 110, Jasper, GA 30143-4897
	(706) 692-9080
	(706) 692-1199

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa M Jackowiak
Gender	Female
Speciality	Physical Therapist
Location	620 J L White Dr Ste 110, Jasper, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720301039
Provider Enumeration Date: 03/02/2010
Last Update Date: 08/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3779609755
Enrollment ID: I20230830003548

Medical Identifiers

Medical identifiers for Lisa M Jackowiak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720301039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT016702 (Georgia)	Primary
225100000X	Physical Therapist	5501015048 (Michigan)	Secondary

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. Lisa M Jackowiak allows following entities to bill medicare on her behalf.

Provider Name	Advance Rehabilitation & Consulting Limited Partnership
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235434283 PECOS PAC ID: 4082890645 Enrollment ID: O20110609000322

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. Lisa M Jackowiak 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
Lisa M Jackowiak, PT Po Box 949, Rome, GA 30162-0949 Ph: (706) 692-9080	Lisa M Jackowiak, PT 620 J L White Dr Ste 110, Jasper, GA 30143-4897 Ph: (706) 692-9080

Reviews and Comments

Physical Therapist in Jasper, GA

Lawrence T Steinbeck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 J L White Dr, Suite 110, Jasper, GA 30143 Phone: 706-692-9080 Fax: 706-692-1199
Jamie Carol Hutcheson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 J L White Dr, Ste 110, Jasper, GA 30143 Phone: 404-367-2088
Nikki Shea Huffman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 J L White Dr Ste 110, Jasper, GA 30143 Phone: 706-692-9080
Emily Statham-morrell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 744 Noah Dr Ste 107, Jasper, GA 30143 Phone: 706-253-3131
Kevin Michael Collins, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 744 Noah Dr Ste 107, Jasper, GA 30143 Phone: 706-253-3131 Fax: 706-253-3132
Samantha Mary Shepherd, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 J L White Dr Ste 110, Jasper, GA 30143 Phone: 404-367-2088 Fax: 706-692-1199
New Beginning Therapeutic Services Physical Therapist Medicare: Medicare Enrolled Practice Location: 91 Sammy Mcghee Blvd, Suite 107, Jasper, GA 30143 Phone: 706-253-6288 Fax: 706-253-6289

Lisa M Jackowiak, PT - Medicare Physical Therapist in Jasper, GA