Maile Bay Jaques, PT in San Pedro, CA - Medicare Physical Therapist Provider

Maile Bay Jaques, PT is a medicare enrolled "Physical Therapist" provider in San Pedro, California. Her current practice location is 481 W 6th St, San Pedro, California. You can reach out to her office (for appointments etc.) via phone at (424) 536-3023.

Maile Bay Jaques is licensed to practice in California (license number PT35890) 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 1609107911.

Contact Information

	Maile Bay Jaques, PT
	481 W 6th St, San Pedro, CA 90731-2631
	(424) 536-3023
	(310) 536-3093

Map and Direction

Healthcare Provider's Profile

Full Name	Maile Bay Jaques
Gender	Female
Speciality	Physical Therapist
Location	481 W 6th St, San Pedro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609107911
Provider Enumeration Date: 01/26/2010
Last Update Date: 02/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2567597941
Enrollment ID: I20100324000591

Medical Identifiers

Medical identifiers for Maile Bay Jaques such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609107911	NPI	-	NPPES
PT35890	Other	CA	PHYSICAL THERAPIST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT35890 (California)	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. Maile Bay Jaques allows following entities to bill medicare on her behalf.

Provider Name	Excel Physical Therapy Associates Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528212784 PECOS PAC ID: 9537217088 Enrollment ID: O20090511000432

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. Maile Bay Jaques 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
Maile Bay Jaques, PT 481 W 6th St, San Pedro, CA 90731-2631 Ph: (424) 536-3023	Maile Bay Jaques, PT 481 W 6th St, San Pedro, CA 90731-2631 Ph: (424) 536-3023

Reviews and Comments

Physical Therapist in San Pedro, CA

Praxis Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1360 W 6th St, #210 North Building, San Pedro, CA 90732 Phone: 310-548-3130
Alice Wang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 W 6th St, Suite 101, San Pedro, CA 90731 Phone: 310-547-1850
Eric K Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 W 6th St Ste 101, San Pedro, CA 90731 Phone: 310-547-1850 Fax: 310-547-1972
Christopher Santos Canlas, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 W 6th St Ste 101, San Pedro, CA 90731 Phone: 310-547-1850 Fax: 310-547-1972
Lisa J Shepard, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 West 6th Street, Suite 101, San Pedro, CA 90732 Phone: 310-547-1850 Fax: 310-547-1972
Ma Christina Salgado-cortez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1176 W 14th St, San Pedro, CA 90731 Phone: 310-972-8049
Dr. Maya Kochiyama, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1360 W 6th St Bldg Suite210, San Pedro, CA 90732 Phone: 310-548-3130

Maile Bay Jaques, PT - Medicare Physical Therapist in San Pedro, CA