Michael Gene Jacketta, MPT, OCS - Medicare Physical Therapist in Evanston, WY

Michael Gene Jacketta, MPT, OCS is a medicare enrolled "Physical Therapist" provider in Evanston, Wyoming. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Physical Therapy. His current practice location is 620 West Cheyenne Drive, Evanston, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 789-8860.

Michael Gene Jacketta is licensed to practice in Wyoming (license number 840) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134131055.

Contact Information

Michael Gene Jacketta, MPT, OCS
620 West Cheyenne Drive,
Evanston, WY 82930-5359
(307) 789-8860
(307) 789-8394

Map and Direction




Healthcare Provider's Profile

Full NameMichael Gene Jacketta
GenderMale
SpecialityPhysical Therapy
Experience26 Years
Location620 West Cheyenne Drive, Evanston, Wyoming
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Gene Jacketta graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1134131055
  • Provider Enumeration Date: 08/12/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8426043167
  • Enrollment ID: I20101122000809

Medical Identifiers

Medical identifiers for Michael Gene Jacketta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134131055NPI-NPPES
117012100 118279000MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 840 (Wyoming)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. Michael Gene Jacketta allows following entities to bill medicare on his behalf.
Provider NameWyoming Specialized Physical Therapy Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1336151265
PECOS PAC ID: 4486649100
Enrollment ID: O20040420000722

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. Michael Gene Jacketta 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 AddressPractice Location Address
Michael Gene Jacketta, MPT, OCS
620 West Cheyenne Drive,
Evanston, WY 82930-5359

Ph: (307) 789-8860
Michael Gene Jacketta, MPT, OCS
620 West Cheyenne Drive,
Evanston, WY 82930-5359

Ph: (307) 789-8860

Reviews and Comments


Physical Therapist in Evanston, WY

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Medicare: Medicare Enrolled
Practice Location: 170 Yellow Creek Rd, Suite D, Evanston, WY 82930
Phone: 307-783-8068    Fax: 307-783-8073
Dr. Jacqueline Clark, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 195 Feather Way, Evanston, WY 82930
Phone: 307-789-0096    
Dr. Matthew Dennis Mitchell, PT, DPT, OCS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 196 Arrowhead Dr Ste 3, Evanston, WY 82930
Phone: 307-783-8220    
Wyoming Specialized Physical Therapy Inc.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 620 W Cheyenne Dr., Evanston, WY 82930
Phone: 307-789-8860    Fax: 307-789-8394

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.