Mr Theodore James St John, DPT in Freeland, MI - Medicare Physical Therapist Provider

Mr Theodore James St John, DPT is a medicare enrolled "Physical Therapist" provider in Freeland, Michigan. His current practice location is 5866 Midland Rd, Freeland, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 573-8588.

Mr Theodore James St John is licensed to practice in Michigan (license number 5501301844) 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 1679219638.

Contact Information

	Mr Theodore James St John, DPT
	5866 Midland Rd, Freeland, MI 48623-8707
	(989) 573-8588
	(989) 573-8589

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Theodore James St John
Gender	Male
Speciality	Physical Therapist
Location	5866 Midland Rd, Freeland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679219638
Provider Enumeration Date: 05/11/2022
Last Update Date: 06/09/2022

Medicare PECOS Information:

PECOS PAC ID: 4082092283
Enrollment ID: I20220531001409

Medical Identifiers

Medical identifiers for Mr Theodore James St John such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679219638	NPI	-	NPPES
S325792367996	Other	MI	DRIVERS LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501301844 (Michigan)	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 Theodore James St John allows following entities to bill medicare on his behalf.

Provider Name	Functional Advantage Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225324734 PECOS PAC ID: 9436310976 Enrollment ID: O20130903000417

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 Theodore James St John 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 Theodore James St John, DPT 5866 Midland Rd, Freeland, MI 48623-8707 Ph: (989) 573-8588	Mr Theodore James St John, DPT 5866 Midland Rd, Freeland, MI 48623-8707 Ph: (989) 573-8588

Reviews and Comments

Physical Therapist in Freeland, MI

Peggy A Ivan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3680 S Orr Rd, Freeland, MI 48623 Phone: 989-695-9282 Fax: 989-695-9283
Matthew John Duley, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4808 N River Rd, Freeland, MI 48623 Phone: 989-781-3702
Mrs. Jana Carolyn Keller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8357 Goldfinch Dr, Freeland, MI 48623 Phone: 989-615-1563
Dr. Molly Kay Wasek, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5694 Midland Rd, Freeland, MI 48623 Phone: 989-695-2466 Fax: 989-695-4944
Functional Advantage, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5866 Midland Rd, Freeland, MI 48623 Phone: 989-579-8588 Fax: 989-573-8589
Dr. Kent E Timm, PHD, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7329 Industrial Dr, Freeland, MI 48623 Phone: 989-573-8266 Fax: 989-573-8269
Mrs. Lisa Arloa Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7329 Industrial Dr, Freeland, MI 48623 Phone: 989-573-8266

Mr Theodore James St John, DPT - Medicare Physical Therapist in Freeland, MI