Amanda Ellen Crouch, PT, DPT in Wartburg, TN - Medicare Physical Therapist Provider

Amanda Ellen Crouch, PT, DPT is a medicare enrolled "Physical Therapist" provider in Wartburg, Tennessee. Her current practice location is 136 Flat Fork Rd, Wartburg, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 622-1551.

Amanda Ellen Crouch is licensed to practice in Tennessee (license number 7311) 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 1124685912.

Contact Information

	Amanda Ellen Crouch, PT, DPT
	136 Flat Fork Rd, Wartburg, TN 37887-3200
	(423) 622-1551
	(877) 856-7133

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Ellen Crouch
Gender	Female
Speciality	Physical Therapist
Location	136 Flat Fork Rd, Wartburg, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124685912
Provider Enumeration Date: 05/28/2019
Last Update Date: 05/28/2019

Medicare PECOS Information:

PECOS PAC ID: 6002292570
Enrollment ID: I20221006001700

Medical Identifiers

Medical identifiers for Amanda Ellen Crouch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124685912	NPI	-	NPPES
7311	Other	TN	HEALTH LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	7311 (Tennessee)	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. Amanda Ellen Crouch allows following entities to bill medicare on her behalf.

Provider Name	Stellar Therapy Services, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1205041811 PECOS PAC ID: 5597719450 Enrollment ID: O20220922003921

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. Amanda Ellen Crouch 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
Amanda Ellen Crouch, PT, DPT Po Box 8114, Chattanooga, TN 37414-0114 Ph: (423) 622-1551	Amanda Ellen Crouch, PT, DPT 136 Flat Fork Rd, Wartburg, TN 37887-3200 Ph: (423) 622-1551

Reviews and Comments

Physical Therapist in Wartburg, TN

Kenneth R Clowers, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Letory Rd, Wartburg, TN 37887 Phone: 423-346-3220 Fax: 423-346-3223
Crystal Johnson, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Letory Rd, Wartburg, TN 37887 Phone: 702-556-8948
Isaiah James Turner, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Letory Rd, Wartburg, TN 37887 Phone: 423-346-3220 Fax: 423-346-3223
Mr. Joseph Sean Galloway, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 Main St, Suite B, Wartburg, TN 37887 Phone: 423-346-7333 Fax: 423-346-7337
Breeanna Hickey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Letory Rd, Wartburg, TN 37887 Phone: 423-346-3220
Mr. Joel Amontos Lasig, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Charles Bishop Rd, Wartburg, TN 37887 Phone: 423-346-1999

Amanda Ellen Crouch, PT, DPT - Medicare Physical Therapist in Wartburg, TN