Mrs Carol Ann Collica, PT in Grovetown, GA - Medicare Physical Therapist Provider

Mrs Carol Ann Collica, PT is a medicare enrolled "Physical Therapist" provider in Grovetown, Georgia. Her current practice location is 444 Park West Drive, Grovetown, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 868-6543.

Mrs Carol Ann Collica is licensed to practice in Georgia (license number PT004494) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194898825.

Contact Information

	Mrs Carol Ann Collica, PT
	444 Park West Drive, Grovetown, GA 30813
	(706) 868-6543
	(706) 868-9579

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Carol Ann Collica
Gender	Female
Speciality	Physical Therapist
Location	444 Park West Drive, Grovetown, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194898825
Provider Enumeration Date: 11/17/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 5496975161
Enrollment ID: I20140930002617

Medical Identifiers

Medical identifiers for Mrs Carol Ann Collica such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194898825	NPI	-	NPPES
617152988A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT004494 (Georgia)	Primary
225100000X	Physical Therapist	2753 (South Carolina)	Secondary

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. Mrs Carol Ann Collica allows following entities to bill medicare on her behalf.

Provider Name	Augusta Developmental Specialists, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932487691 PECOS PAC ID: 3476717042 Enrollment ID: O20120611000592

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. Mrs Carol Ann Collica 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
Mrs Carol Ann Collica, PT 483 Old Walnut Br, North Augusta, SC 29860-8662 Ph: (803) 441-8291	Mrs Carol Ann Collica, PT 444 Park West Drive, Grovetown, GA 30813 Ph: (706) 868-6543

Reviews and Comments

Physical Therapist in Grovetown, GA

Dr. Kara Christine Curtis, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4039 Gateway Blvd, Suite 102, Grovetown, GA 30813 Phone: 706-210-9534
Analise Lauren Richtsmeier, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 419 Lewiston Rd Ste 3, Grovetown, GA 30813 Phone: 706-945-0420 Fax: 706-945-0288
James Austin Boyd, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 419 Lewiston Rd Ste 3, Grovetown, GA 30813 Phone: 706-945-0420
Independent Physical Therapy Of Ga, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 419 Lewiston Rd Ste 3, Grovetown, GA 30813 Phone: 706-945-0420 Fax: 706-945-0288
Mr. Gabriel Steven Takacs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 419 Lewiston Rd Ste 3, Grovetown, GA 30813 Phone: 706-945-0420
Amber M Sausman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4039 Gateway Blvd, Suite 102, Grovetown, GA 30813 Phone: 706-210-9534 Fax: 706-210-9536

Mrs Carol Ann Collica, PT - Medicare Physical Therapist in Grovetown, GA