Mrs Jordan Sue Brester, PT, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Genoa, Nebraska. Her current practice location is
706 Ewing Avenue, Genoa, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 993-4599.
Mrs Jordan Sue Brester is licensed to practice in Nebraska (license number 3972) 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 1710548292.
Healthcare Provider's Profile
| Full Name | Mrs Jordan Sue Brester |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 706 Ewing Avenue, Genoa, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710548292
- Provider Enumeration Date: 06/25/2019
- Last Update Date: 06/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173858065
- Enrollment ID: I20190715002988
Medical Identifiers
Medical identifiers for Mrs Jordan Sue Brester such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710548292 | NPI | - | NPPES |
| 3972 | Other | NE | PT LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 3972 (Nebraska) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 3972 (Nebraska) | 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 Jordan Sue Brester allows following entities to bill medicare on her behalf.
| Provider Name | City Of Genoa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1104859206
PECOS PAC ID: 5193702777
Enrollment ID: O20040901001124 |
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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. Mrs Jordan Sue Brester 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 Jordan Sue Brester, PT, DPT
706 Ewing Avenue,
Genoa, NE 68640
Ph: (402) 993-4599 | Mrs Jordan Sue Brester, PT, DPT
706 Ewing Avenue,
Genoa, NE 68640
Ph: (402) 993-4599 |
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