Mr Jeffrey Lackowitz, PT - Medicare Physical Therapist in Patchogue, NY

Mr Jeffrey Lackowitz, PT is a medicare enrolled "Physical Therapist" provider in Patchogue, New York. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Motion Dynamics Physical Therapy Pc and his current practice location is 440 Waverly Ave Ste 5, Patchogue, New York. You can reach out to his office (for appointments etc.) via phone at (631) 758-5700.

Mr Jeffrey Lackowitz is licensed to practice in New York (license number 014079-1) 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 1326140328.

Contact Information

Mr Jeffrey Lackowitz, PT
440 Waverly Ave Ste 5,
Patchogue, NY 11772-1597
(631) 758-5700
(631) 758-7005



Healthcare Provider's Profile

Full NameMr Jeffrey Lackowitz
GenderMale
SpecialityPhysical Therapy
Experience31 Years
Location440 Waverly Ave Ste 5, Patchogue, New York
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:
  • Mr Jeffrey Lackowitz graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1326140328
  • Provider Enumeration Date: 09/01/2006
  • Last Update Date: 02/13/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3375610249
  • Enrollment ID: I20081009000013

Medical Identifiers

Medical identifiers for Mr Jeffrey Lackowitz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326140328NPI-NPPES
5442410OtherNYAETNA
102491OtherNYVYTRA
2284678OtherNYAETNA
940212OtherNYHERITAGE
AZ00653OtherNYMDNY
1437802OtherNYFIRST HEALTH
Q49881OtherNYEMPIRE BLUE CROSS
P1948798OtherNYOXFORD
1380287OtherNMUNITED HEALTH CARE
20593POtherNYHIP
SF0003106OtherNYSELECT PRO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 014079-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Motion Dynamics Physical Therapy Pc43857112582

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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. Mr Jeffrey Lackowitz allows following entities to bill medicare on his behalf.
Provider NameMotion Dynamics Physical Therapy Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1306022272
PECOS PAC ID: 4385711258
Enrollment ID: O20080918000010

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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. Mr Jeffrey Lackowitz 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
Mr Jeffrey Lackowitz, PT
440 Waverly Ave Ste 5,
Patchogue, NY 11772-1597

Ph: (631) 758-5700
Mr Jeffrey Lackowitz, PT
440 Waverly Ave Ste 5,
Patchogue, NY 11772-1597

Ph: (631) 758-5700

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Physical Therapist in Patchogue, NY

Ronald Amaya Lopez, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 322 W Main St, Patchogue, NY 11772
Phone: 631-228-4977    
Sungguk Bae,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 21 Cleveland St, Patchogue, NY 11772
Phone: 631-569-9373    
Nicole Marie Divirgilio, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 77 Route 112 Ste F, Patchogue, NY 11772
Phone: 631-207-2370    
John Lowe Wilson, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 25 Theresa Ct, Patchogue, NY 11772
Phone: 631-730-3326    
Danielle M Bousquet,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 77 Medford Ave, Patchogue, NY 11772
Phone: 631-758-1910    
Stephanie Lauren Vanschaick, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 77 Medford Ave, Patchogue, NY 11772
Phone: 631-758-1910    Fax: 631-758-1984
Kathleen Alyssa Bailey, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 322 W Main St, Patchogue, NY 11772
Phone: 631-228-4977    

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