Mr Willie David Beavers Iii, PT, DPT, GCS in Stockbridge, GA

Mr Willie David Beavers Iii, PT, DPT, GCS is a medicare enrolled "Physical Therapist - Geriatrics" provider in Stockbridge, Georgia. His current practice location is 549 Country Club Dr, Stockbridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 438-7445.

Mr Willie David Beavers Iii is licensed to practice in Georgia (license number PT011076) 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 1336554955.

Contact Information

	Mr Willie David Beavers Iii, PT, DPT, GCS
	549 Country Club Dr, Stockbridge, GA 30281-6347
	(404) 438-7445
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Willie David Beavers Iii
Gender	Male
Speciality	Physical Therapist - Geriatrics
Location	549 Country Club Dr, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336554955
Provider Enumeration Date: 06/23/2014
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 3274886056
Enrollment ID: I20181024001524

Medical Identifiers

Medical identifiers for Mr Willie David Beavers Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336554955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT011076 (Georgia)	Secondary
2251G0304X	Physical Therapist - Geriatrics	PT011076 (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 Willie David Beavers Iii allows following entities to bill medicare on his behalf.

Provider Name	Georgia Geriatrics And Rehabilitation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972092955 PECOS PAC ID: 2365795143 Enrollment ID: O20181024001434

Provider Name	Empowerme Rehabilitation Georgia, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952934374 PECOS PAC ID: 4284063835 Enrollment ID: O20200401003230

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 Willie David Beavers Iii 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 Willie David Beavers Iii, PT, DPT, GCS 549 Country Club Dr, Stockbridge, GA 30281-6347 Ph: (404) 438-7445	Mr Willie David Beavers Iii, PT, DPT, GCS 549 Country Club Dr, Stockbridge, GA 30281-6347 Ph: (404) 438-7445

Reviews and Comments

Physical Therapist in Stockbridge, GA

Clarissa Michel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1060 Eagles Landing Pkwy Ste 130, Stockbridge, GA 30281 Phone: 470-369-5770 Fax: 470-369-5771
Tyleka Moore, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 199 Medical Blvd, Stockbridge, GA 30281 Phone: 470-781-9440
Mr. Thomas Allen Pace, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 909 Eagles Landing Pkwy Ste 430, Stockbridge, GA 30281 Phone: 770-898-9993 Fax: 770-898-9983
Rehab South Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 Eagles Landing Pkwy, Suite A, Stockbridge, GA 30281 Phone: 678-289-0525 Fax: 678-289-0529
Performance Physical Therapy, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 909 Eagles Landing Pkwy Ste 430, Stockbridge, GA 30281 Phone: 770-506-6993 Fax: 770-506-6994
Carrie Ferguson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 N Park Pl, Suite 250, Stockbridge, GA 30281 Phone: 678-289-4418
David Sahid Gunn, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 240 Medical Blvd, Stockbridge, GA 30281 Phone: 678-595-9207

Mr Willie David Beavers Iii, PT, DPT, GCS - Medicare Physical Therapist in Stockbridge, GA