Johnny Philebaum, PT, DPT in Kings Mountain, NC - Medicare Physical Therapist Provider

Johnny Philebaum, PT, DPT is a medicare enrolled "Physical Therapist" provider in Kings Mountain, North Carolina. His current practice location is 110 W King St Ste 9, Kings Mountain, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 739-5995.

Johnny Philebaum is licensed to practice in North Carolina (license number P21566) 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 1891413480.

Contact Information

	Johnny Philebaum, PT, DPT
	110 W King St Ste 9, Kings Mountain, NC 28086-3437
	(704) 739-5995
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Johnny Philebaum
Gender	Male
Speciality	Physical Therapist
Location	110 W King St Ste 9, Kings Mountain, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891413480
Provider Enumeration Date: 08/19/2022
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 7618352337
Enrollment ID: I20220916001197

Medical Identifiers

Medical identifiers for Johnny Philebaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891413480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P21566 (North Carolina)	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. Johnny Philebaum allows following entities to bill medicare on his behalf.

Provider Name	Ivyrehab North Carolina Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1629568647 PECOS PAC ID: 8820336324 Enrollment ID: O20190207001822

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. Johnny Philebaum 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
Johnny Philebaum, PT, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050	Johnny Philebaum, PT, DPT 110 W King St Ste 9, Kings Mountain, NC 28086-3437 Ph: (704) 739-5995

Reviews and Comments

Physical Therapist in Kings Mountain, NC

Dr. Julia Elizabeth Mcgraw, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 836 E King St, Kings Mountain, NC 28086 Phone: 704-739-5995
Dr. Michael Bernard Haas, PT, DPT, CAFS Physical Therapist Medicare: Medicare Enrolled Practice Location: 110 W King St Ste 9, Kings Mountain, NC 28086 Phone: 704-739-5995
Dr. Elizabeth Kay Wells, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 W King St Ste 9, Kings Mountain, NC 28086 Phone: 704-739-5995 Fax: 704-739-2442
Kristen Martinez, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 110 W King St Ste 9, Kings Mountain, NC 28086 Phone: 704-739-5995

Johnny Philebaum, PT, DPT - Medicare Physical Therapist in Kings Mountain, NC