Brianna Lee Fairley, DPT in College Park, GA - Medicare Physical Therapist Provider

Brianna Lee Fairley, DPT is a medicare enrolled "Physical Therapist" provider in College Park, Georgia. Her current practice location is 1669 Phoenix Pkwy Ste 102, College Park, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 907-1023.

Brianna Lee Fairley is licensed to practice in Georgia (license number PT014299) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114576733.

Contact Information

	Brianna Lee Fairley, DPT
	1669 Phoenix Pkwy Ste 102, College Park, GA 30349-5462
	(770) 907-1023
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brianna Lee Fairley
Gender	Female
Speciality	Physical Therapist
Location	1669 Phoenix Pkwy Ste 102, College Park, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114576733
Provider Enumeration Date: 09/06/2019
Last Update Date: 09/06/2019

Medicare PECOS Information:

PECOS PAC ID: 1557895620
Enrollment ID: I20241112001918

Medical Identifiers

Medical identifiers for Brianna Lee Fairley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114576733	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT014299 (Georgia)	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. Brianna Lee Fairley allows following entities to bill medicare on her behalf.

Provider Name	Physiotherapy Associates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760568257 PECOS PAC ID: 3577470442 Enrollment ID: O20241108001033

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. Brianna Lee Fairley 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
Brianna Lee Fairley, DPT 5115 Stone Croft Trl Sw, Atlanta, GA 30331-7692 Ph: () -	Brianna Lee Fairley, DPT 1669 Phoenix Pkwy Ste 102, College Park, GA 30349-5462 Ph: (770) 907-1023

Reviews and Comments

Physical Therapist in College Park, GA

Dr. Eric Lynne Steere, PT, MD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1669 Phoenix Pkwy, Suite 102, College Park, GA 30349 Phone: 770-907-1023 Fax: 770-907-5608
Stephanie S Applegate, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1901 Phoenix Blvd, Suite 205, College Park, GA 30349 Phone: 770-907-1023
Matthew Kooy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1669 Phoenix Pkwy, Ste. 102, College Park, GA 30349 Phone: 770-907-1023 Fax: 770-907-5608
Tracy Wesley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4259 Yates Rd, College Park, GA 30337 Phone: 615-860-4542
Francis Mary Hodgdon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1669 Phoenix Pkwy, Suite 102, College Park, GA 30349 Phone: 770-907-1023 Fax: 770-907-5608
Julie Crenshaw, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Camp Creek Pkwy Ste 225, College Park, GA 30337 Phone: 423-653-0176

Brianna Lee Fairley, DPT - Medicare Physical Therapist in College Park, GA