Mr Jason Robert Gough, MS PT CBIS - Medicare Physical Therapist in Longview, TX

Mr Jason Robert Gough, MS PT CBIS is a medicare enrolled "Physical Therapist" provider in Longview, Texas. His current practice location is 3202 4th St, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 753-6635.

Mr Jason Robert Gough is licensed to practice in Texas (license number 1148230) 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 1598983215.

Contact Information

Mr Jason Robert Gough, MS PT CBIS
3202 4th St,
Longview, TX 75605-5217
(903) 753-6635
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Jason Robert Gough
GenderMale
SpecialityPhysical Therapist
Location3202 4th St, Longview, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598983215
  • Provider Enumeration Date: 04/20/2007
  • Last Update Date: 05/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4880025501
  • Enrollment ID: I20200618000253

Medical Identifiers

Medical identifiers for Mr Jason Robert Gough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598983215NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1148230 (Texas)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. Mr Jason Robert Gough allows following entities to bill medicare on his behalf.
Provider NameLongview Outpatient Physical Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1730517004
PECOS PAC ID: 9931336070
Enrollment ID: O20140214001534
Provider NameMarshall Physical Therapy, Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1841523917
PECOS PAC ID: 2769756345
Enrollment ID: O20170920002179

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 Jason Robert Gough 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
Mr Jason Robert Gough, MS PT CBIS
4002 Technology Ctr,
Longview, TX 75605-2697

Ph: (903) 247-0484
Mr Jason Robert Gough, MS PT CBIS
3202 4th St,
Longview, TX 75605-5217

Ph: (903) 753-6635

Reviews and Comments


Physical Therapist in Longview, TX

Ms. Trisha Lee Brown, ATC, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 107 Woodbine Pl Unit 775, Longview, TX 75601
Phone: 039-757-8194    Fax: 903-757-8294
Alyssa T Smith, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3202 4th St Ste 101, Longview, TX 75605
Phone: 903-753-6635    Fax: 903-753-1114
Robert Bailey Culp,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 601 Hollybrook Dr, Longview, TX 75605
Phone: 903-758-8888    
Mrs. Laura Lou Ann Austin, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3206 N 4th St, Longview, TX 75605
Phone: 903-753-6635    Fax: 903-753-1114
Mrs. Celia J Bower, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2715 Patio St, Longview, TX 75605
Phone: 903-759-1509    Fax: 903-295-0099
Shayne Wright, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2903 Judson Rd, Longview, TX 75605
Phone: 903-235-5468    
Kevin Johns, PT, ATC
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 103 W Loop 281, Suite 800, Longview, TX 75605
Phone: 903-315-5580    

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.