Mrs Denise Serotta Jackson, PT is a medicare enrolled "Physical Therapist" provider in Glen Falls, New York. She graduated from medical school in 1992 and has 34 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Nova Rehab Pt Ot Pllc and her current practice location is
Stephen W. Bassin, P.t., P.c., 32 Sherman Ave, Glen Falls, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 793-7136.
Mrs Denise Serotta Jackson is licensed to practice in New York (license number 012831-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295732071.
Healthcare Provider's Profile
| Full Name | Mrs Denise Serotta Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist In Private Practice |
|---|
| Experience | 34 Years |
|---|
| Location | Stephen W. Bassin, P.t., P.c., Glen Falls, New York |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Denise Serotta Jackson graduated from medical school in 1992
NPI Data:
- NPI Number: 1295732071
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5496938342
- Enrollment ID: I20110330000593
Medical Identifiers
Medical identifiers for Mrs Denise Serotta Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295732071 | NPI | - | NPPES |
| 000499025001 | Other | NY | BLUESHIELD OF NE NY |
| 01699036 | Medicaid | NY | |
| DJ0QL58710 | Other | NY | EMPIRE BC/BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 012831-1 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Nova Rehab Pt Ot Pllc | 5395244685 | 15 |
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. Mrs Denise Serotta Jackson 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 |
Mrs Denise Serotta Jackson, PT Stephen W. Bassin, P.t., P.c., 32 Sherman Ave, Glen Falls, NY 12801 Ph: (518) 793-7136 | Mrs Denise Serotta Jackson, PT Stephen W. Bassin, P.t., P.c., 32 Sherman Ave, Glen Falls, NY 12801 Ph: (518) 793-7136 |
Reviews and Comments