Mr Jared Clark Mallory, PT in Port Arthur, TX - Medicare Physical Therapist Provider

Mr Jared Clark Mallory, PT is a medicare enrolled "Physical Therapist" provider in Port Arthur, Texas. His current practice location is 3398 25th Street, Port Arthur, Texas. You can reach out to his office (for appointments etc.) via phone at (409) 985-9365.

Mr Jared Clark Mallory is licensed to practice in Texas (license number 1137768) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679896534.

Contact Information

	Mr Jared Clark Mallory, PT
	3398 25th Street, Port Arthur, TX 77642
	(409) 985-9365
	(409) 985-6315

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jared Clark Mallory
Gender	Male
Speciality	Physical Therapist
Location	3398 25th Street, Port Arthur, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679896534
Provider Enumeration Date: 03/08/2010
Last Update Date: 03/08/2010

Medicare PECOS Information:

PECOS PAC ID: 5294753281
Enrollment ID: I20051108000862

Medical Identifiers

Medical identifiers for Mr Jared Clark Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679896534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1137768 (Texas)	Primary
225400000X	Rehabilitation Practitioner	1137768 (Texas)	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. Mr Jared Clark Mallory allows following entities to bill medicare on his behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1871972653 PECOS PAC ID: 6507832573 Enrollment ID: O20150723009037

Provider Name	Florida Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114542032 PECOS PAC ID: 3779991559 Enrollment ID: O20210415001126

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. Mr Jared Clark Mallory 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
Mr Jared Clark Mallory, PT 3398 25th Street, Port Arthur,, TX 77642 Ph: (409) 985-9365	Mr Jared Clark Mallory, PT 3398 25th Street, Port Arthur, TX 77642 Ph: (409) 985-9365

Reviews and Comments

Physical Therapist in Port Arthur, TX

Dr. Dustin Kyle Craver, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5957 9th Ave, Port Arthur, TX 77642 Phone: 409-982-8878 Fax: 409-982-5119
Mrs. Bonnie Sayaphoumy Top, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 9th Ave, Suite D, Port Arthur, TX 77642 Phone: 409-729-8111 Fax: 409-729-8114
Dr. Gerardo Octavio Ruiz, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6767 9th Ave, Port Arthur, TX 77642 Phone: 409-722-1485
Mrs. Mary Joyce Cruz-manuel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8333 9th Ave, Suite D, Port Arthur, TX 77642 Phone: 409-729-8111 Fax: 409-729-8114
Allen Edano, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5957 9th Ave, Port Arthur, TX 77642 Phone: 409-982-8878 Fax: 409-982-5119
Dr. Mark Alexander Culver, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6767 9th Ave, Port Arthur, TX 77642 Phone: 409-722-1485 Fax: 409-985-6315
Mrs. Keri Ann Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4225 Lake Arthur Dr, Port Arthur, TX 77642 Phone: 409-727-3193 Fax: 409-722-0714

Mr Jared Clark Mallory, PT - Medicare Physical Therapist in Port Arthur, TX