Gary Higgins, PT - Medicare Physical Therapist in Lehighton, PA

Gary Higgins, PT is a medicare enrolled "Physical Therapist" provider in Lehighton, Pennsylvania. His current practice location is 290 Krakow Dr, Lehighton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 216-7863.

Gary Higgins is licensed to practice in Pennsylvania (license number PT006804L) 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 1437628880.

Contact Information

Gary Higgins, PT
290 Krakow Dr,
Lehighton, PA 18235-8935
(610) 216-7863
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameGary Higgins
GenderMale
SpecialityPhysical Therapist
Location290 Krakow Dr, Lehighton, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437628880
  • Provider Enumeration Date: 11/15/2018
  • Last Update Date: 11/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5991040669
  • Enrollment ID: I20181227002197

Medical Identifiers

Medical identifiers for Gary Higgins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437628880NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT006804L (Pennsylvania)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. Gary Higgins allows following entities to bill medicare on his behalf.
Provider NameIn Your Home Physical Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588959761
PECOS PAC ID: 5294904256
Enrollment ID: O20110808000667

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. Gary Higgins 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
Gary Higgins, PT
290 Krakow Dr,
Lehighton, PA 18235-8935

Ph: (610) 216-7863
Gary Higgins, PT
290 Krakow Dr,
Lehighton, PA 18235-8935

Ph: (610) 216-7863

Reviews and Comments


Physical Therapist in Lehighton, PA

Mackenzie Neubauer, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 500 St Lukes Dr, Lehighton, PA 18235
Phone: 866-785-8537    
Edward Marchessault, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 290 Krakow Dr, Lehighton, PA 18235
Phone: 484-629-8770    Fax: 610-377-0735
Susan Sandt, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 750 Mill Run Dr, Lehighton, PA 18235
Phone: 610-379-4102    
Mary Anne Lenyo-drury,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 290 Krakow Dr, Lehighton, PA 18235
Phone: 484-629-8770    
Dr. Nicholas Dorazio, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 397 Hemlock Dr, Lehighton, PA 18235
Phone: 570-386-5522    
Andrea Lynn Iacoviello, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 575 S 9th St Ste 5, Lehighton, PA 18235
Phone: 866-785-8537    
Marissa Frey,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 397 Hemlock Dr, Lehighton, PA 18235
Phone: 570-386-5522    

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.