Mrs Audrey D Jernigan, in Waycross, GA - Medicare Physical Therapist Provider

Mrs Audrey D Jernigan, is a medicare enrolled "Physical Therapist" provider in Waycross, Georgia. Her current practice location is 301 Pineview Dr., Waycross, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 285-2361.

Mrs Audrey D Jernigan is licensed to practice in Georgia (license number PT001243) 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 1245363688.

Contact Information

	Mrs Audrey D Jernigan,
	301 Pineview Dr., Waycross, GA 31501
	(912) 285-2361
	(912) 285-0571

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Audrey D Jernigan
Gender	Female
Speciality	Physical Therapist
Location	301 Pineview Dr., Waycross, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245363688
Provider Enumeration Date: 03/14/2007
Last Update Date: 04/03/2013

Medicare PECOS Information:

PECOS PAC ID: 7719057835
Enrollment ID: I20080602000477

Medical Identifiers

Medical identifiers for Mrs Audrey D Jernigan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245363688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT001243 (Georgia)	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 Audrey D Jernigan allows following entities to bill medicare on her behalf.

Provider Name	Sports Medicine And Rehab Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396079224 PECOS PAC ID: 1658415054 Enrollment ID: O20100224000010

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 Audrey D Jernigan 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 Audrey D Jernigan, 301 Pineview Dr, Waycross, GA 31501-5229 Ph: (912) 285-2361	Mrs Audrey D Jernigan, 301 Pineview Dr., Waycross, GA 31501 Ph: (912) 285-2361

Reviews and Comments

Physical Therapist in Waycross, GA

Dr. Mary Catherine Wysong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Preston St, Waycross, GA 31501 Phone: 912-283-7342 Fax: 912-283-7402
Hazel Blaylock-lawson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 W Oneida St, Waycross, GA 31501 Phone: 912-283-3046 Fax: 912-283-9289
Taylor Lane, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2267 Memorial Dr Ste 300, Waycross, GA 31501 Phone: 912-285-1927
Ware County Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 Preston St, Waycross, GA 31501 Phone: 912-283-7342 Fax: 912-283-7402
Wade Benjmain Norris Iii, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2267 Memorial Dr Ste 300, Waycross, GA 31501 Phone: 912-285-1927
Kaylee Davis Musselwhite, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2267 Memorial Dr Ste 300, Waycross, GA 31501 Phone: 912-285-1927 Fax: 912-285-1929

Mrs Audrey D Jernigan, - Medicare Physical Therapist in Waycross, GA