Matthew Graham Davis, DPT in Jacksonville, NC - Medicare Physical Therapist Provider

Matthew Graham Davis, DPT is a medicare enrolled "Physical Therapist" provider in Jacksonville, North Carolina. His current practice location is 2145 Country Club Rd Ste 200, Jacksonville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 726-1802.

Matthew Graham Davis is licensed to practice in North Carolina (license number P21773) 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 1952030009.

Contact Information

	Matthew Graham Davis, DPT
	2145 Country Club Rd Ste 200, Jacksonville, NC 28546-2404
	(252) 726-1802
	(252) 726-1805

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Graham Davis
Gender	Male
Speciality	Physical Therapist
Location	2145 Country Club Rd Ste 200, Jacksonville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952030009
Provider Enumeration Date: 06/06/2022
Last Update Date: 03/11/2025

Medicare PECOS Information:

PECOS PAC ID: 4981072964
Enrollment ID: I20221122003439

Medical Identifiers

Medical identifiers for Matthew Graham Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952030009	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P20242 (North Carolina)	Secondary
2251X0800X	Physical Therapist - Orthopedic	(North Carolina)	Secondary
225100000X	Physical Therapist	P21773 (North 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. Matthew Graham Davis allows following entities to bill medicare on his behalf.

Provider Name	Breakthrough Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558598532 PECOS PAC ID: 9234274754 Enrollment ID: O20100308000584

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. Matthew Graham Davis 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
Matthew Graham Davis, DPT Po Box 5105, Belfast, ME 04915-5100 Ph: (252) 726-1802	Matthew Graham Davis, DPT 2145 Country Club Rd Ste 200, Jacksonville, NC 28546-2404 Ph: (252) 726-1802

Reviews and Comments

Physical Therapist in Jacksonville, NC

Erin M Ryan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083
Kelsey Aldi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555
Dr. Emily Louise Sarratt, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2457 Gum Branch Rd Ste 600700, Jacksonville, NC 28540 Phone: 910-938-7555
Dr. Taylor Chadwick Bryan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083
Dr. Kayla Lynn Gee, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2145 Country Club Rd Ste 200, Jacksonville, NC 28546 Phone: 252-726-1802 Fax: 252-726-1805
Mr. Frank J Mikloucich Jr., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3060 Henderson Dr, Jacksonville, NC 28546 Phone: 910-346-3151 Fax: 910-346-2975
Heather Koopman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Brabham Ave Ste 100, Jacksonville, NC 28546 Phone: 910-332-3800 Fax: 910-251-0421

Matthew Graham Davis, DPT - Medicare Physical Therapist in Jacksonville, NC