Hannah Souksavong, PT, DPT in Green Cove Springs, FL - Medicare Physical Therapist Provider

Hannah Souksavong, PT, DPT is a medicare enrolled "Physical Therapist" provider in Green Cove Springs, Florida. Her current practice location is 1305 N Orange Ave Ste 118, Green Cove Springs, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 531-5500.

Hannah Souksavong is licensed to practice in Florida (license number PT39810) 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 1194506626.

Contact Information

	Hannah Souksavong, PT, DPT
	1305 N Orange Ave Ste 118, Green Cove Springs, FL 32043-2553
	(904) 531-5500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Hannah Souksavong
Gender	Female
Speciality	Physical Therapist
Location	1305 N Orange Ave Ste 118, Green Cove Springs, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194506626
Provider Enumeration Date: 10/10/2023
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 3274989025
Enrollment ID: I20231030003909

Medical Identifiers

Medical identifiers for Hannah Souksavong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194506626	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT39810 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hannah Souksavong allows following entities to bill medicare on her behalf.

Provider Name	Summit Physical Therapy, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992348569 PECOS PAC ID: 7416384763 Enrollment ID: O20200226000194

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. Hannah Souksavong 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
Hannah Souksavong, PT, DPT 33 S Twin Maple Rd, St Augustine, FL 32084-8372 Ph: (615) 707-9301	Hannah Souksavong, PT, DPT 1305 N Orange Ave Ste 118, Green Cove Springs, FL 32043-2553 Ph: (904) 531-5500

Reviews and Comments

Physical Therapist in Green Cove Springs, FL

Ms. Vesmina L Vanta, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 803 Oak St, Governors Creek Health And Rehab, Green Cove Springs, FL 32043 Phone: 904-284-5606
Creekside Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 282 Arthur Moore Dr, Green Cove Springs, FL 32043 Phone: 904-588-5262
Jana Renee Shaddix Diaz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3505 Olympic Dr, Green Cove Springs, FL 32043 Phone: 904-302-7268
Estrella Jane A. Pena, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Penney Farms 3 Pavillion Place 3495 Hoffman St, Green Cove Springs, FL 32043 Phone: 904-284-8200
Ms. Shelley A. Ryan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 Walnut St, #4199, Green Cove Springs, FL 32043 Phone: 609-221-6994
Florida Physicians Associates Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2230 Sandridge Rd, Green Cove Springs, FL 32043 Phone: 904-710-9335

Hannah Souksavong, PT, DPT - Medicare Physical Therapist in Green Cove Springs, FL