Mr Russell Blake Jasper, DPT is a medicare enrolled "Physical Therapist" provider in Mc Gehee, Arkansas. His current practice location is
210 N. Second Street, Mc Gehee, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 265-1074.
Mr Russell Blake Jasper is licensed to practice in Arkansas (license number PT2988) 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 1700037835.
Healthcare Provider's Profile
| Full Name | Mr Russell Blake Jasper |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 210 N. Second Street, Mc Gehee, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700037835
- Provider Enumeration Date: 10/07/2008
- Last Update Date: 04/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648566331
- Enrollment ID: I20160906002421
Medical Identifiers
Medical identifiers for Mr Russell Blake Jasper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700037835 | NPI | - | NPPES |
| 201955721 | Medicaid | AR | |
| 5AU27 | Other | AR | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | PT2988 (Arkansas) | 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 Russell Blake Jasper allows following entities to bill medicare on his behalf.
| Provider Name | Hands On Rehab Services, Pllc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1497138846 PECOS PAC ID: 2567758246 Enrollment ID: O20160906002284 |
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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 Russell Blake Jasper 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 Russell Blake Jasper, DPT Po Box 183, Mc Gehee, AR 71654-0183 Ph: (870) 265-1074 | Mr Russell Blake Jasper, DPT 210 N. Second Street, Mc Gehee, AR 71654-2111 Ph: (870) 265-1074 |
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