Mr Jonathan Douglas Wayne Reagan, MPT in Lebanon, MO - Medicare Physical Therapist Provider

Mr Jonathan Douglas Wayne Reagan, MPT is a medicare enrolled "Physical Therapist" provider in Lebanon, Missouri. His current practice location is 200 W Commercial St, Lebanon, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 718-0712.

Mr Jonathan Douglas Wayne Reagan is licensed to practice in Missouri (license number 2001015007) 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 1134217698.

Contact Information

	Mr Jonathan Douglas Wayne Reagan, MPT
	200 W Commercial St, Lebanon, MO 65536-3146
	(417) 718-0712
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jonathan Douglas Wayne Reagan
Gender	Male
Speciality	Physical Therapist
Location	200 W Commercial St, Lebanon, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134217698
Provider Enumeration Date: 10/10/2006
Last Update Date: 07/03/2025

Medicare PECOS Information:

PECOS PAC ID: 1456501923
Enrollment ID: I20121017000911

Medical Identifiers

Medical identifiers for Mr Jonathan Douglas Wayne Reagan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134217698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2001015007 (Missouri)	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 Jonathan Douglas Wayne Reagan allows following entities to bill medicare on his behalf.

Provider Name	Springfield Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1548219447 PECOS PAC ID: 9335198225 Enrollment ID: O20050122000101

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 Jonathan Douglas Wayne 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 Jonathan Douglas Wayne Reagan, MPT Po Box 1736, Lebanon, MO 65536 Ph: (417) 718-0712	Mr Jonathan Douglas Wayne Reagan, MPT 200 W Commercial St, Lebanon, MO 65536-3146 Ph: (417) 718-0712

Reviews and Comments

Physical Therapist in Lebanon, MO

Amy Patricia Dunckel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Hospital Dr, Suite D, Lebanon, MO 65536 Phone: 417-533-6315
Kelly Alexander, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 144 Evergreen Pkwy, Lebanon, MO 65536 Phone: 417-991-3440 Fax: 417-991-3445
Advance Physical Therapy & Sports Medicine Of Lebanon, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 Evergreen Parkway, Lebanon, MO 65536 Phone: 217-222-6800 Fax: 217-222-0037
Stetson Wayne Reed, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 Evergreen Pkwy, Lebanon, MO 65536 Phone: 417-657-8000 Fax: 877-496-3919
Mrs. Chara Leigh Jensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Hospital Dr, Suite D, Lebanon, MO 65536 Phone: 417-533-6315 Fax: 417-533-6320
Mrs. Angela Nicole Childress, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 331 Hospital Dr Ste D, Lebanon, MO 65536 Phone: 417-533-6315

Mr Jonathan Douglas Wayne Reagan, MPT - Medicare Physical Therapist in Lebanon, MO