Mitchell Hayden Guidry, PT, DPT is a medicare enrolled "Physical Therapist" physician in New Port Richey, Florida. His current practice location is
5221 Hanff Ln, New Port Richey, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 841-0515.
Mitchell Hayden Guidry is licensed to practice in Texas (license number 1378852) 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 1821695743.
Physician's Profile
Full Name | Mitchell Hayden Guidry |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 5221 Hanff Ln, New Port Richey, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821695743
- Provider Enumeration Date: 10/04/2020
- Last Update Date: 07/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416321781
- Enrollment ID: I20230831001408
Medical Identifiers
Medical identifiers for Mitchell Hayden Guidry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821695743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | PT36218 (Florida) | Secondary |
225100000X | Physical Therapist | 1378852 (Texas) | 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. Mitchell Hayden Guidry allows following entities to bill medicare on his behalf.
Entity Name | Ideal Physical Therapy Of Texas Llc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Entity Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
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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. Mitchell Hayden Guidry 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 |
Mitchell Hayden Guidry, PT, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Mitchell Hayden Guidry, PT, DPT 5221 Hanff Ln, New Port Richey, FL 34652-4226 Ph: (727) 841-0515 |
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