Functionally Fit Fitness Center is a medicare enrolled "Clinic/center - Physical Therapy" provider in Rockledge, Florida. Their current practice location is
3802 Murrell Rd, Rockledge, Florida. You can reach out to their office (for appointments etc.) via phone at
(321) 877-2090.
Functionally Fit Fitness Center is licensed to practice in Florida (license number ) and it also participates in the medicare program. Functionally Fit Fitness Center
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 1740796895.
Healthcare Provider's Profile
| Full Name | Functionally Fit Fitness Center |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 3802 Murrell Rd, Rockledge, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740796895
- Provider Enumeration Date: 12/26/2017
- Last Update Date: 08/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739435553
- Enrollment ID: O20180710002069
Medical Identifiers
Medical identifiers for Functionally Fit Fitness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740796895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 19703 (Florida) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Functionally Fit Fitness Center acts as a billing entity for following providers:
| Provider Name | Roger Henderson |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1073557070
PECOS PAC ID: 0547326043
Enrollment ID: I20090309000374 |
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| Provider Name | Gerald S Bowman |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1043749799
PECOS PAC ID: 2264780089
Enrollment ID: I20180809004984 |
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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. Functionally Fit Fitness Center 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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Functionally Fit Fitness Center
7777 N Wickham Rd Unit 12-514,
Melbourne, FL 32940-7976
Ph: (305) 543-0133 | Functionally Fit Fitness Center
3802 Murrell Rd,
Rockledge, FL 32955
Ph: (321) 877-2090 |
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