Bryan Kristoffer De La Silva, in Jackson, TN - Medicare Physical Therapist Provider

Bryan Kristoffer De La Silva, is a medicare enrolled "Physical Therapist" provider in Jackson, Tennessee. His current practice location is 911 Old Humboldt Rd, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 256-5762.

Bryan Kristoffer De La Silva is licensed to practice in Tennessee (license number 13655) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396478525.

Contact Information

	Bryan Kristoffer De La Silva,
	911 Old Humboldt Rd, Jackson, TN 38305-5668
	(731) 256-5762
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bryan Kristoffer De La Silva
Gender	Male
Speciality	Physical Therapist
Location	911 Old Humboldt Rd, Jackson, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396478525
Provider Enumeration Date: 07/06/2022
Last Update Date: 07/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5294101523
Enrollment ID: I20221012000025

Medical Identifiers

Medical identifiers for Bryan Kristoffer De La Silva such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396478525	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P19888 (North Carolina)	Secondary
225100000X	Physical Therapist	13655 (Tennessee)	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. Bryan Kristoffer De La Silva allows following entities to bill medicare on his behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376073262 PECOS PAC ID: 6507832573 Enrollment ID: O20171003005084

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. Bryan Kristoffer De La Silva 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
Bryan Kristoffer De La Silva, 2025 Champions Dr Apt 6c, Dyersburg, TN 38024-2587 Ph: (662) 760-2179	Bryan Kristoffer De La Silva, 911 Old Humboldt Rd, Jackson, TN 38305-5668 Ph: (731) 256-5762

Reviews and Comments

Physical Therapist in Jackson, TN

Mrs. Misti T. Nash, PT, CWS, FACCWS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Devonshire Sq, Suite 7, Jackson, TN 38305 Phone: 731-660-5902
Redden Total Therapy-south, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51 S Creek Dr, Jackson, TN 38301 Phone: 731-423-8700 Fax: 731-423-8888
Mrs. Rachel Cain Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 614 Carriage House Dr, Jackson, TN 38305 Phone: 731-668-4449
Mrs. Jamie Marie Borntrager, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 670 Skyline Dr, Jackson, TN 38301 Phone: 731-541-6844 Fax: 731-541-4436
Marvin Mcknight, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1024 Greystone Sq, Jackson, TN 38305 Phone: 731-664-1160 Fax: 731-664-9236
Josefina L Pena, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 544 Roland Ave, Jackson, TN 38301 Phone: 731-421-6950 Fax: 731-421-6999
Mrs. Suzanne Josephine Lim-luy, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2782 N Highland Ave Ste A, Jackson, TN 38305 Phone: 731-664-1172 Fax: 731-664-3139

Bryan Kristoffer De La Silva, - Medicare Physical Therapist in Jackson, TN