Elite Sport & Spine Physical Therapy, Inc. - Medicare Physical Therapist in Hawkinsville, GA

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Elite Sport & Spine Physical Therapy, Inc. is a medicare enrolled "Physical Therapist" provider in Hawkinsville, Georgia. Their current practice location is 2 Mashburn St Ste 102, Hawkinsville, Georgia. You can reach out to their office (for appointments etc.) via phone at (478) 292-7865.

Elite Sport & Spine Physical Therapy, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Elite Sport & Spine Physical Therapy, Inc. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1518985282.

Contact Information

Elite Sport & Spine Physical Therapy, Inc.
2 Mashburn St Ste 102,
Hawkinsville, GA 31036-4961
(478) 292-7865
(478) 783-4466

Map and Direction




Healthcare Provider's Profile

Full NameElite Sport & Spine Physical Therapy, Inc.
TypeFacility
SpecialityPhysical Therapist
Location2 Mashburn St Ste 102, Hawkinsville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518985282
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 12/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2466448758
  • Enrollment ID: O20040422000467

Medical Identifiers

Medical identifiers for Elite Sport & Spine Physical Therapy, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518985282NPI-NPPES
000754619BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Elite Sport & Spine Physical Therapy, Inc. acts as a billing entity for following providers:
Provider NameJeremy C Eaton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376693762
PECOS PAC ID: 5496854861
Enrollment ID: I20070626000370
Provider NameJames B Sayler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467502559
PECOS PAC ID: 4587763966
Enrollment ID: I20070626000379
Provider NameGregory Jude Chiasson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1386838977
PECOS PAC ID: 9537211891
Enrollment ID: I20090716000619
Provider NameRandall Clay Cannon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790136836
PECOS PAC ID: 7113212630
Enrollment ID: I20160823002467
Provider NameMallory P King
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124571773
PECOS PAC ID: 0547558462
Enrollment ID: I20161010001164
Provider NameNatalie K Harris
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013187897
PECOS PAC ID: 7416223284
Enrollment ID: I20171023001290
Provider NameAngela Sue Meade
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649379298
PECOS PAC ID: 4981766888
Enrollment ID: I20180808001412
Provider NameMaxwell J Albanese
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003441676
PECOS PAC ID: 8820419336
Enrollment ID: I20200608002922
Provider NameJames D Palmer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760015887
PECOS PAC ID: 7810319514
Enrollment ID: I20200625003075
Provider NameCallie R Reiser
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245855691
PECOS PAC ID: 0042639742
Enrollment ID: I20200930000506
Provider NameWilliam A Hvizdzak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912675950
PECOS PAC ID: 0042609026
Enrollment ID: I20211112000835

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. Elite Sport & Spine Physical Therapy, Inc. 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 AddressPractice Location Address
Elite Sport & Spine Physical Therapy, Inc.
2 Mashburn St,
Hawkinsville, GA 31036-4961

Ph: (478) 292-7865		Elite Sport & Spine Physical Therapy, Inc.
2 Mashburn St Ste 102,
Hawkinsville, GA 31036-4961

Ph: (478) 292-7865

Reviews and Comments


Physical Therapist in Hawkinsville, GA

Kyle Thompson, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2 Mashburn St Ste 102, Hawkinsville, GA 31036
Phone: 478-783-4460    Fax: 478-783-4466

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.