Mr Charles Richard Eisele, PT in Greensboro, GA - Medicare Physical Therapist Provider

Mr Charles Richard Eisele, PT is a medicare enrolled "Physical Therapist" provider in Greensboro, Georgia. His current practice location is 6183 Lake Oconee Pkwy, Greensboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (762) 445-1940.

Mr Charles Richard Eisele is licensed to practice in Georgia (license number PT004255) 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 1982047023.

Contact Information

	Mr Charles Richard Eisele, PT
	6183 Lake Oconee Pkwy, Greensboro, GA 30642-3823
	(762) 445-1940
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Charles Richard Eisele
Gender	Male
Speciality	Physical Therapist
Location	6183 Lake Oconee Pkwy, Greensboro, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982047023
Provider Enumeration Date: 04/08/2013
Last Update Date: 01/15/2025

Medicare PECOS Information:

PECOS PAC ID: 9931167798
Enrollment ID: I20041227000348

Medical Identifiers

Medical identifiers for Mr Charles Richard Eisele such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982047023	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT004255 (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. Mr Charles Richard Eisele allows following entities to bill medicare on his behalf.

Provider Name	Independent Physical Therapy Of Georgia Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396

Provider Name	Benchmark Physical Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120

Provider Name	Agilitas Usa Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20111018000281

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. Mr Charles Richard Eisele 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
Mr Charles Richard Eisele, PT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217	Mr Charles Richard Eisele, PT 6183 Lake Oconee Pkwy, Greensboro, GA 30642-3823 Ph: (762) 445-1940

Reviews and Comments

Physical Therapist in Greensboro, GA

Mr. Dennis Durwood Wood, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1001 Village Park Dr Ste 105, Greensboro, GA 30642 Phone: 706-454-2000 Fax: 706-454-0806
Dr. Kevin Adrian King, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 Village Park Ln, Suite 102, Greensboro, GA 30642 Phone: 706-454-1811 Fax: 706-454-1812
Sara Emily Olson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1031 Lake Country Dr, Greensboro, GA 30642 Phone: 706-549-1663 Fax: 706-546-8792
Dalton Jansen, PT, DPT, CERT. DN Physical Therapist Medicare: Medicare Enrolled Practice Location: 1031 Lake Country Dr, Greensboro, GA 30642 Phone: 706-549-1663
Holly J Warnock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1061 Park Dr, Greensboro, GA 30642 Phone: 706-453-1600
Christopher Glynn Alligood, P.T., OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1001 Village Park Dr, Suite 105, Greensboro, GA 30642 Phone: 478-454-6482 Fax: 706-454-0806
Mrs. Cindy Rena Davis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Siloam Rd, Greensboro, GA 30642 Phone: 706-453-5088 Fax: 706-453-5014

Mr Charles Richard Eisele, PT - Medicare Physical Therapist in Greensboro, GA