Dr Kenneth Mynatt, PT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Tucker, Georgia. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Emory Physical Therapy, Llc and his current practice location is
1459 Montreal Rd Ste 304, Tucker, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 251-3420.
Dr Kenneth Mynatt is licensed to practice in Georgia (license number PT013026) 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 1245754456.
Physician's Profile
| Full Name | Dr Kenneth Mynatt |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 7 Years |
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| Location | 1459 Montreal Rd Ste 304, Tucker, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kenneth Mynatt graduated from medical school in 2017
NPI Data:
- NPI Number: 1245754456
- Provider Enumeration Date: 07/29/2017
- Last Update Date: 07/29/2017
Medicare PECOS Information:
- PECOS PAC ID: 9436422417
- Enrollment ID: I20170913003800
Medical Identifiers
Medical identifiers for Dr Kenneth Mynatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245754456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | PT013026 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Emory Physical Therapy, Llc | 1153382676 | 53 |
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. Dr Kenneth Mynatt allows following entities to bill medicare on his behalf.
| Entity Name | Emory Physical Therapy, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922018423
PECOS PAC ID: 1153382676
Enrollment ID: O20041019000776 |
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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. Dr Kenneth Mynatt 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 |
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Dr Kenneth Mynatt, PT
1459 Montreal Rd Ste 304,
Tucker, GA 30084-6920
Ph: () - | Dr Kenneth Mynatt, PT
1459 Montreal Rd Ste 304,
Tucker, GA 30084-6920
Ph: (404) 251-3420 |
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