Luis Carmona, in Johnson City, TN - Medicare Physical Therapist Provider

Luis Carmona, is a medicare enrolled "Physical Therapist" provider in Johnson City, Tennessee. His current practice location is 1043 Jack Vest Dr, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 439-4044.

Luis Carmona is licensed to practice in Tennessee (license number 14490) 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 1639953730.

Contact Information

	Luis Carmona,
	1043 Jack Vest Dr, Johnson City, TN 37614
	(423) 439-4044
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Luis Carmona
Gender	Male
Speciality	Physical Therapist
Location	1043 Jack Vest Dr, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639953730
Provider Enumeration Date: 08/21/2023
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 2264887355
Enrollment ID: I20231010001078

Medical Identifiers

Medical identifiers for Luis Carmona such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639953730	NPI	-	NPPES
Q086333	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	14490 (Tennessee)	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. Luis Carmona allows following entities to bill medicare on his behalf.

Provider Name	Medical Education Assistance Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235180480 PECOS PAC ID: 3870491269 Enrollment ID: O20040206000795

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. Luis Carmona 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
Luis Carmona, 1401 Merrywood Dr, Johnson City, TN 37604-7238 Ph: () -	Luis Carmona, 1043 Jack Vest Dr, Johnson City, TN 37614 Ph: (423) 439-4044

Reviews and Comments

Physical Therapist in Johnson City, TN

Lauren Hope Campbell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 Bristol Hwy Ste 301, Johnson City, TN 37601 Phone: 423-556-8943
Alexis Beach, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2312 Knob Creedk Rd Ste 200, Johnson City, TN 37604 Phone: 423-232-8302
Dr. Hannah Michelle Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 E Mountain View Rd, Johnson City, TN 37601 Phone: 423-291-0234
Amanda M Minick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1043 Jack Vest Dr, Johnson City, TN 37614 Phone: 423-439-4044
Jacqueline Ann White, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 612 Lyle St Ste 118, Johnson City, TN 37604 Phone: 423-328-3156
Jessica Story, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3209 Bristol Hwy, Johnson City, TN 37601 Phone: 423-282-3311
Olivia Cathryn Boles, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3135 Peoples St Ste 404, Johnson City, TN 37604 Phone: 423-454-1006

Luis Carmona, - Medicare Physical Therapist in Johnson City, TN