Mr Clark Brandon Rasberry, DPT in Laurel, MS - Medicare Physical Therapy Provider

Mr Clark Brandon Rasberry, DPT is a medicare enrolled "Physical Therapist" provider in Laurel, Mississippi. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Optimal Performance Physical Therapy and his current practice location is 23 Mason St, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 399-0534.

Mr Clark Brandon Rasberry is licensed to practice in Mississippi (license number PT4025) 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 1922136639.

Contact Information

	Mr Clark Brandon Rasberry, DPT
	23 Mason St, Laurel, MS 39440-4437
	(601) 399-0534
	(601) 399-2810

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Clark Brandon Rasberry
Gender	Male
Speciality	Physical Therapy
Experience	20 Years
Location	23 Mason St, Laurel, Mississippi
Accepts Medicare Assignments	Yes. 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 Clark Brandon Rasberry graduated from medical school in 2004

NPI Data:

NPI Number: 1922136639
Provider Enumeration Date: 03/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4183017460
Enrollment ID: I20220209001051

Medical Identifiers

Medical identifiers for Mr Clark Brandon Rasberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922136639	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT4025 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optimal Performance Physical Therapy	8022385145	3

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 Clark Brandon Rasberry allows following entities to bill medicare on his behalf.

Provider Name	Optimal Performance Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1831644293 PECOS PAC ID: 8022385145 Enrollment ID: O20170522000298

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 Clark Brandon Rasberry 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
Mr Clark Brandon Rasberry, DPT 15 Blackberry Dr., Laurel, MS 39443 Ph: (601) 425-4473	Mr Clark Brandon Rasberry, DPT 23 Mason St, Laurel, MS 39440-4437 Ph: (601) 399-0534

Reviews and Comments

Physical Therapist in Laurel, MS

Mrs. Melinda Danette Chancellor, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4119 Fax: 601-426-4768
Kourtney Flowers Murphy, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Mason St, Laurel, MS 39440 Phone: 601-399-0534
Mr. Tom A Hall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-399-0534
Mr. George G Collins Jr., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4119
Joseph P Cooley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1707 West 20th Street, Laurel, MS 39442 Phone: 601-428-2004 Fax: 601-428-8833
Mr. Kyle Brannon Crager, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Mason St, Laurel, MS 39440 Phone: 607-399-0534
Mr. Joel Hudson Pierce, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Mason St, Laurel, MS 39440 Phone: 601-399-0534

Mr Clark Brandon Rasberry, DPT - Medicare Physical Therapist in Laurel, MS