Kristoffer Totanes Magallanes, is a medicare enrolled "Physical Therapist" provider in Eastanollee, Georgia. His current practice location is
201 Walmart Way, Eastanollee, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 282-1025.
Kristoffer Totanes Magallanes is licensed to practice in Georgia (license number PT016489) 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 1134836984.
Healthcare Provider's Profile
| Full Name | Kristoffer Totanes Magallanes |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 201 Walmart Way, Eastanollee, Georgia |
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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: 1134836984
- Provider Enumeration Date: 11/01/2022
- Last Update Date: 03/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183099336
- Enrollment ID: I20230331001702
Medical Identifiers
Medical identifiers for Kristoffer Totanes Magallanes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134836984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 12120 (Connecticut) | Secondary |
| 225100000X | Physical Therapist | PT016489 (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. Kristoffer Totanes Magallanes allows following entities to bill medicare on his behalf.
| Provider Name | Independent Physical Therapy Of Georgia Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780636068
PECOS PAC ID: 2961312244
Enrollment ID: O20040303000396 |
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| Provider Name | Benchmark Physical Therapy, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1083666903
PECOS PAC ID: 1557395209
Enrollment ID: O20050921001120 |
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| Provider Name | Drayer Physical Therapy Georgia, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962830406
PECOS PAC ID: 4284863317
Enrollment ID: O20140212000668 |
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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. Kristoffer Totanes Magallanes 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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Kristoffer Totanes Magallanes,
1200 Corporate Dr Ste 400,
Hoover, AL 35242-5424
Ph: (866) 518-0283 | Kristoffer Totanes Magallanes,
201 Walmart Way,
Eastanollee, GA 30538
Ph: (706) 282-1025 |
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