Kelli Block, in Dacula, GA - Medicare Physical Therapist Provider

Kelli Block, is a medicare enrolled "Physical Therapist" provider in Dacula, Georgia. Her current practice location is 2300 Liam Ave Ste 104, Dacula, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 294-0052.

Kelli Block is licensed to practice in Georgia (license number PT016161) 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 1841918372.

Contact Information

	Kelli Block,
	2300 Liam Ave Ste 104, Dacula, GA 30019-2265
	(470) 294-0052
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelli Block
Gender	Female
Speciality	Physical Therapist
Location	2300 Liam Ave Ste 104, Dacula, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841918372
Provider Enumeration Date: 08/19/2022
Last Update Date: 08/26/2024

Medicare PECOS Information:

PECOS PAC ID: 0648656371
Enrollment ID: I20221004002965

Medical Identifiers

Medical identifiers for Kelli Block such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841918372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT016161 (Georgia)	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. Kelli Block allows following entities to bill medicare on her behalf.

Provider Name	Soar Physical Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083861785 PECOS PAC ID: 0941365100 Enrollment ID: O20090223000316

Provider Name	Fyz 400 Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912622960 PECOS PAC ID: 0547638736 Enrollment ID: O20221118001663

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. Kelli Block 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
Kelli Block, 236 Candler Way, Williamson, GA 30292-3284 Ph: (678) 577-3020	Kelli Block, 2300 Liam Ave Ste 104, Dacula, GA 30019-2265 Ph: (470) 294-0052

Reviews and Comments

Physical Therapist in Dacula, GA

Laurice Aarons, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2089 Teron Trce Ste 120, Dacula, GA 30019 Phone: 770-904-2357
Dr. Jasmine C Williams, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2300 Liam Ave Ste 103, Dacula, GA 30019 Phone: 470-294-0052 Fax: 470-294-0053
Dr. Katie Bannister, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3615 Braselton Hwy, Suite 104, Dacula, GA 30019 Phone: 770-904-6009 Fax: 770-904-2357
Amy Atkinson Bernal, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 976 Redstone Rd, Dacula, GA 30019 Phone: 770-977-2345 Fax: 678-392-4401
Cristen Sisson, BS, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3581 Braselton Hwy, Dacula, GA 30019 Phone: 770-800-7827
Yumi Ueda Hutchins, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2515 Fence Rd Ste 160, Dacula, GA 30019 Phone: 770-237-2852 Fax: 770-237-2854
Mr. Derek Keith Rushing, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3625 Braselton Hwy Ste 204, Dacula, GA 30019 Phone: 770-271-7492 Fax: 770-271-7426

Kelli Block, - Medicare Physical Therapist in Dacula, GA