Richard P Jackson, - Medicare Physical Therapist in Miami, FL

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Richard P Jackson, is a medicare enrolled "Physical Therapist" provider in Miami, Florida. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Pinecrest Performance Llc and his current practice location is 9619 S Dixie Hwy, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 722-0568.

Richard P Jackson is licensed to practice in Florida (license number PT30106) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053703215.

Contact Information

Richard P Jackson,
9619 S Dixie Hwy,
Miami, FL 33156-2804
(305) 722-0568
(305) 670-0899

Map and Direction




Healthcare Provider's Profile

Full NameRichard P Jackson
GenderMale
SpecialityPhysical Therapist In Private Practice
Experience12 Years
Location9619 S Dixie Hwy, Miami, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Richard P Jackson graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1053703215
  • Provider Enumeration Date: 02/25/2015
  • Last Update Date: 07/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981967361
  • Enrollment ID: I20180417002680

Medical Identifiers

Medical identifiers for Richard P Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053703215NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT30106 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pinecrest Performance Llc50922282394

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. Richard P Jackson allows following entities to bill medicare on his behalf.
Provider NamePinecrest Physical Therapy LLC
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1174607006
PECOS PAC ID: 6406943406
Enrollment ID: O20071107000137
Provider NamePinecrest Pt-south LLC
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1427562073
PECOS PAC ID: 9436413077
Enrollment ID: O20180507000401
Provider NamePinecrest Performance LLC
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1962126169
PECOS PAC ID: 5092228239
Enrollment ID: O20250701000683

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. Richard P 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 AddressPractice Location Address
Richard P Jackson,
Po Box 331933,
Miami, FL 33233-1933

Ph: (305) 722-0568		Richard P Jackson,
9619 S Dixie Hwy,
Miami, FL 33156-2804

Ph: (305) 722-0568

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.