Gage W Park, DPT in Pryor, OK - Medicare Physical Therapist Provider

Gage W Park, DPT is a medicare enrolled "Physical Therapist" provider in Pryor, Oklahoma. His current practice location is 165 Steve Barry Blvd, Pryor, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 824-4500.

Gage W Park is licensed to practice in Oklahoma (license number 5808) 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 1073138434.

Contact Information

	Gage W Park, DPT
	165 Steve Barry Blvd, Pryor, OK 74361-6841
	(918) 824-4500
	(918) 824-1977

Map and Direction

Healthcare Provider's Profile

Full Name	Gage W Park
Gender	Male
Speciality	Physical Therapist
Location	165 Steve Barry Blvd, Pryor, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073138434
Provider Enumeration Date: 06/11/2020
Last Update Date: 06/11/2020

Medicare PECOS Information:

PECOS PAC ID: 7214359975
Enrollment ID: I20200625001502

Medical Identifiers

Medical identifiers for Gage W Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073138434	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5808 (Oklahoma)	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. Gage W Park allows following entities to bill medicare on his behalf.

Provider Name	Drayer Physical Therapy Oklahoma Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1316345705 PECOS PAC ID: 7315240744 Enrollment ID: O20160119002137

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. Gage W Park 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
Gage W Park, DPT 8205 Presidents Dr, Hummelstown, PA 17036-8621 Ph: (717) 839-2188	Gage W Park, DPT 165 Steve Barry Blvd, Pryor, OK 74361-6841 Ph: (918) 824-4500

Reviews and Comments

Physical Therapist in Pryor, OK

Meghan Teitz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Steve Barry Blvd, Pryor, OK 74361 Phone: 918-824-4500
Jason P Hartog, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1486 S Elliott St, Pryor, OK 74361 Phone: 918-825-2333 Fax: 918-825-6266
Angela Marie Cohen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1486 S Elliott St, Pryor, OK 74361 Phone: 918-825-2333 Fax: 918-825-6266
Lisa Altena, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 165 Steve Barry Blvd, Pryor, OK 74361 Phone: 918-824-4500 Fax: 918-824-1977
Mrs. Wendi Schaffitzel, PT, CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1486 S Elliott St, Pryor, OK 74361 Phone: 918-825-2333
Hakjun Kim, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 N Bailey St, Pryor, OK 74361 Phone: 918-824-7770

Gage W Park, DPT - Medicare Physical Therapist in Pryor, OK