Mrs Kathryn Elizabeth Jacques, MPT in Fort Defiance, AZ - Medicare Physical Therapist Provider

Mrs Kathryn Elizabeth Jacques, MPT is a medicare enrolled "Physical Therapist" provider in Fort Defiance, Arizona. Her current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8132.

Mrs Kathryn Elizabeth Jacques is licensed to practice in Alaska (license number PHYP2898) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245470210.

Contact Information

	Mrs Kathryn Elizabeth Jacques, MPT
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504
	(928) 729-8132
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kathryn Elizabeth Jacques
Gender	Female
Speciality	Physical Therapist
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245470210
Provider Enumeration Date: 03/03/2009
Last Update Date: 08/20/2015

Medicare PECOS Information:

PECOS PAC ID: 9133391220
Enrollment ID: I20111014000169

Medical Identifiers

Medical identifiers for Mrs Kathryn Elizabeth Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245470210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PHYP2898 (Alaska)	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. Mrs Kathryn Elizabeth Jacques allows following entities to bill medicare on her behalf.

Provider Name	Alaska Native Tribal Health Consortium
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772

Provider Name	Southcentral Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416

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 Kathryn Elizabeth Jacques 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 Kathryn Elizabeth Jacques, MPT 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 Ph: (907) 729-3300	Mrs Kathryn Elizabeth Jacques, MPT Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8132

Reviews and Comments

Physical Therapist in Fort Defiance, AZ

Sarah Maria Berkenstock, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N7, Corner Of Routes N12, Fort Defiance, AZ 86504 Phone: 928-729-8000
Robbie Whitehair, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance Indian Hospital Board, Inc., Fort Defiance, AZ 86504 Phone: 928-729-8810
Dr. Jonathan Thomas Keown, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Miss Deidrea Rose Salabye, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 Fax: 928-729-8814
Ms. Alana Marie Bencivengo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route 12 And 7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Dr. Lily Jessica Wei, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Rte 12 And Rte 7, Fort Defiance, AZ 86504 Phone: 928-729-8000

Mrs Kathryn Elizabeth Jacques, MPT - Medicare Physical Therapist in Fort Defiance, AZ