Breanna Butcher, is a medicare enrolled "Physical Therapist" provider in Salem, West Virginia. Her current practice location is
255 Sunbridge Dr, Salem, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 782-3000.
Breanna Butcher is licensed to practice in West Virginia (license number CP043886T) 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 1144033911.
Healthcare Provider's Profile
| Full Name | Breanna Butcher |
|---|
| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 255 Sunbridge Dr, Salem, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144033911
- Provider Enumeration Date: 01/27/2025
- Last Update Date: 04/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 3375066699
- Enrollment ID: I20250327002052
Medical Identifiers
Medical identifiers for Breanna Butcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144033911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | CP042114T (Georgia) | Secondary |
| 225100000X | Physical Therapist | P23773 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | CP043886T (West Virginia) | 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. Breanna Butcher allows following entities to bill medicare on her behalf.
| Provider Name | Independent Physical Therapy Of Georgia Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780636068
PECOS PAC ID: 2961312244
Enrollment ID: O20040303000396 |
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| Provider Name | Benchmark Physical Therapy, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1083666903
PECOS PAC ID: 1557395209
Enrollment ID: O20050921001120 |
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| Provider Name | Agilitas Usa, Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1962417444
PECOS PAC ID: 3375454648
Enrollment ID: O20111018000281 |
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| Provider Name | Drayer Physical Therapy Georgia, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962830406
PECOS PAC ID: 4284863317
Enrollment ID: O20140212000668 |
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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. Breanna Butcher 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 |
|---|
Breanna Butcher,
101 E State St,
Kennett Square, PA 19348-3109
Ph: () - | Breanna Butcher,
255 Sunbridge Dr,
Salem, WV 26426-8400
Ph: (304) 782-3000 |
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