John L Payne, PT is a medicare enrolled "Physical Therapist" provider in St Pete Beach, Florida. His current practice location is
575 75th Ave, Suncoast Fitness, Inc., St Pete Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 367-0075.
John L Payne is licensed to practice in Florida (license number PT 28370) 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 1003830324.
Healthcare Provider's Profile
| Full Name | John L Payne |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 575 75th Ave, St Pete Beach, Florida |
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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: 1003830324
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 09/24/2014
Medicare PECOS Information:
- PECOS PAC ID: 7315168481
- Enrollment ID: I20141015001306
Medical Identifiers
Medical identifiers for John L Payne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003830324 | NPI | - | NPPES |
| 1174173 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT 28370 (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. John L Payne allows following entities to bill medicare on his behalf.
| Provider Name | Suncoast Fitness, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063501484
PECOS PAC ID: 4486834439
Enrollment ID: O20110208000409 |
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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. John L Payne 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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John L Payne, PT
575 75th Ave, Suncoast Fitness, Inc.,
St Pete Beach, FL 33706-1833
Ph: (727) 367-0075 | John L Payne, PT
575 75th Ave, Suncoast Fitness, Inc.,
St Pete Beach, FL 33706-1833
Ph: (727) 367-0075 |
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