Mr Jesse Chase Reagan, PT in Carrollton, GA - Medicare Physical Therapist Provider

Mr Jesse Chase Reagan, PT is a medicare enrolled "Physical Therapist" provider in Carrollton, Georgia. His current practice location is 1124 N Park St Ste M, Carrollton, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 834-0873.

Mr Jesse Chase Reagan is licensed to practice in Georgia (license number PT015961) 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 1366172462.

Contact Information

	Mr Jesse Chase Reagan, PT
	1124 N Park St Ste M, Carrollton, GA 30117-2282
	(770) 834-0873
	(770) 834-6118

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jesse Chase Reagan
Gender	Male
Speciality	Physical Therapist
Location	1124 N Park St Ste M, Carrollton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366172462
Provider Enumeration Date: 06/13/2022
Last Update Date: 03/12/2025

Medicare PECOS Information:

PECOS PAC ID: 8123541091
Enrollment ID: I20250401002105

Medical Identifiers

Medical identifiers for Mr Jesse Chase Reagan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366172462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT015961 (Georgia)	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 Jesse Chase Reagan allows following entities to bill medicare on his behalf.

Provider Name	Carrollton Orthopaedic Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1356483747 PECOS PAC ID: 7810989183 Enrollment ID: O20040330001027

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 Jesse Chase Reagan 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 Jesse Chase Reagan, PT 1124 N Park St Ste M, Carrollton, GA 30117-2282 Ph: (770) 834-0873	Mr Jesse Chase Reagan, PT 1124 N Park St Ste M, Carrollton, GA 30117-2282 Ph: (770) 834-0873

Reviews and Comments

Physical Therapist in Carrollton, GA

Wilbur Lew Blackman Iii, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954
Sarah Worley, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954
Mrs. Rebecca Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954
Hannah Alise Cothran, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1004 Bankhead Hwy Ste 5, Carrollton, GA 30117 Phone: 770-834-5609
Mr. Vaughn Williams, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-830-9517 Fax: 770-830-5957
George Bo Hamil Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954
Darcia Farrell, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 812 South Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954

Mr Jesse Chase Reagan, PT - Medicare Physical Therapist in Carrollton, GA