Eric Paddock, is a medicare enrolled "Physical Therapist" provider in College Dale, Tennessee. His current practice location is
4448 Suhrie Rd, College Dale, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 299-5218.
Eric Paddock is licensed to practice in Tennessee (license number 15169) 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 1255119624.
Healthcare Provider's Profile
| Full Name | Eric Paddock |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 4448 Suhrie Rd, College Dale, Tennessee |
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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: 1255119624
- Provider Enumeration Date: 09/18/2023
- Last Update Date: 07/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 5597110064
- Enrollment ID: I20231018003341
Medical Identifiers
Medical identifiers for Eric Paddock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255119624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 15169 (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. Eric Paddock allows following entities to bill medicare on his behalf.
| Provider Name | Agilitas Usa, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962417444
PECOS PAC ID: 3375454648
Enrollment ID: O20041115000337 |
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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. Eric Paddock 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 |
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Eric Paddock,
116 Agnes Rd Ste 200,
Knoxville, TN 37919-6306
Ph: (231) 884-0805 | Eric Paddock,
4448 Suhrie Rd,
College Dale, TN 37363-8161
Ph: (423) 299-5218 |
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