Mary Jane South, MPT in Glencoe, IL - Medicare Physical Therapist Provider

Mary Jane South, MPT is a medicare enrolled "Physical Therapist" provider in Glencoe, Illinois. Her current practice location is 401 Jefferson Ave, Glencoe, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 786-3003.

Mary Jane South is licensed to practice in Virginia (license number 2305214253) 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 1508283714.

Contact Information

	Mary Jane South, MPT
	401 Jefferson Ave, Glencoe, IL 60022-1825
	(847) 786-3003
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Jane South
Gender	Female
Speciality	Physical Therapist
Location	401 Jefferson Ave, Glencoe, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508283714
Provider Enumeration Date: 03/25/2014
Last Update Date: 09/19/2024

Medicare PECOS Information:

PECOS PAC ID: 4385177567
Enrollment ID: I20241025003088

Medical Identifiers

Medical identifiers for Mary Jane South such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508283714	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070013316 (Illinois)	Secondary
225100000X	Physical Therapist	2305214253 (Virginia)	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. Mary Jane South allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Sept, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1982657433 PECOS PAC ID: 7911990908 Enrollment ID: O20240202000799

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. Mary Jane South 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
Mary Jane South, MPT Po Box 412307, Boston, MA 02241-2307 Ph: (914) 294-4050	Mary Jane South, MPT 401 Jefferson Ave, Glencoe, IL 60022-1825 Ph: (847) 786-3003

Reviews and Comments

Physical Therapist in Glencoe, IL

Fore Fitness And Rehabilitation, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 Westley Rd, Glencoe, IL 60022 Phone: 773-216-6890
Chicagoland Therapy Associates Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Hogarth Ln, Box 417, Glencoe, IL 60022 Phone: 847-835-0660 Fax: 847-835-0670
Juliette Rachel Ellis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 433 Oakdale Ave, Glencoe, IL 60022 Phone: 847-602-5016

Mary Jane South, MPT - Medicare Physical Therapist in Glencoe, IL