Gordon R Estlack, MPT in Lima, OH - Medicare Physical Therapy Provider

Gordon R Estlack, MPT is a medicare enrolled "Physical Therapist" provider in Lima, Ohio. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Orthopaedic Institute Of Ohio Inc and his current practice location is 801 Medical Dr Ste A, Lima, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 222-6622.

Gordon R Estlack is licensed to practice in Ohio (license number PT012580) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750609624.

Contact Information

	Gordon R Estlack, MPT
	801 Medical Dr Ste A, Lima, OH 45804-4030
	(419) 222-6622
	(419) 224-0015

Map and Direction

Healthcare Provider's Profile

Full Name	Gordon R Estlack
Gender	Male
Speciality	Physical Therapy
Experience	15 Years
Location	801 Medical Dr Ste A, Lima, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gordon R Estlack graduated from medical school in 2009

NPI Data:

NPI Number: 1750609624
Provider Enumeration Date: 05/17/2010
Last Update Date: 11/15/2018

Medicare PECOS Information:

PECOS PAC ID: 7315264124
Enrollment ID: I20150316000869

Medical Identifiers

Medical identifiers for Gordon R Estlack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750609624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT012580 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopaedic Institute Of Ohio Inc	2860479078	69

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. Gordon R Estlack allows following entities to bill medicare on his behalf.

Provider Name	Orthopaedic Institute Of Ohio Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902886492 PECOS PAC ID: 2860479078 Enrollment ID: O20040706001065

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. Gordon R Estlack 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
Gordon R Estlack, MPT 801 Medical Dr Ste A, Lima, OH 45804-4030 Ph: (419) 222-6622	Gordon R Estlack, MPT 801 Medical Dr Ste A, Lima, OH 45804-4030 Ph: (419) 222-6622

Reviews and Comments

Physical Therapist in Lima, OH

Dr. Kyle T Shroll, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 Medical Dr Ste A, Lima, OH 45804 Phone: 419-222-6622 Fax: 419-224-0015
Kristin Doll, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2535 Fort Amanda Rd, Lima, OH 45804 Phone: 419-999-2055
Susan Sheehan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Slabtown Rd, Lima, OH 45801 Phone: 419-222-1836
Tyler Green, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1100 Shawnee Rd, Lima, OH 45805 Phone: 419-999-2010 Fax: 419-999-6284
Back On Track Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 3477 S Dixie Hwy, Lima, OH 45804 Phone: 567-356-4385 Fax: 419-738-8002
Mrs. Amy Little, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 804 S Mumaugh Rd, Lima, OH 45804 Phone: 419-225-9040 Fax: 419-225-9292
Timothy Walsh, P.T., M.A. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4825 Sugar Creek Rd, Lima, OH 45807 Phone: 419-996-9650 Fax: 888-881-8547

Gordon R Estlack, MPT - Medicare Physical Therapist in Lima, OH