Jeremy Bryan, DPT is a medicare enrolled "Physical Therapist" provider in Darlington, South Carolina. His current practice location is
157 Home Ave, Darlington, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 393-2867.
Jeremy Bryan is licensed to practice in South Carolina (license number PT11400) 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 1467124578.
Healthcare Provider's Profile
| Full Name | Jeremy Bryan |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 157 Home Ave, Darlington, South Carolina |
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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: 1467124578
- Provider Enumeration Date: 09/28/2021
- Last Update Date: 02/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517349962
- Enrollment ID: I20220801002429
Medical Identifiers
Medical identifiers for Jeremy Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467124578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT37509 (Florida) | Secondary |
| 225100000X | Physical Therapist | 2305215729 (Virginia) | Secondary |
| 225100000X | Physical Therapist | P23138 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | PT017480 (Georgia) | Secondary |
| 225100000X | Physical Therapist | PTH11808 (Alabama) | Secondary |
| 225100000X | Physical Therapist | T-W0049-3 (Kansas) | Secondary |
| 225100000X | Physical Therapist | PT032334 (Pennsylvania) | Secondary |
| 225100000X | Physical Therapist | PT11400 (South Carolina) | 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. Jeremy Bryan allows following entities to bill medicare on his behalf.
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1841561446
PECOS PAC ID: 2860649654
Enrollment ID: O20130531000379 |
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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. Jeremy Bryan 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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Jeremy Bryan, DPT
10133 Sherrill Blvd Ste 200,
Knoxville, TN 37932-3347
Ph: (865) 531-2204 | Jeremy Bryan, DPT
157 Home Ave,
Darlington, SC 29532-7625
Ph: (843) 393-2867 |
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