Mrs Keely Peterson Brown, PT in Surf City, NC - Medicare Physical Therapist In Private Practice Provider

Mrs Keely Peterson Brown, PT is a medicare enrolled "Physical Therapist" provider in Surf City, North Carolina. She graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Providence Physical Therapy, Llc, Benchmark Physical Therapy Of North Carolina, Llc and her current practice location is 107 Triton Ln, Surf City, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 803-2040.

Mrs Keely Peterson Brown is licensed to practice in North Carolina (license number P22144) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366877870.

Contact Information

	Mrs Keely Peterson Brown, PT
	107 Triton Ln, Surf City, NC 28445-6923
	(910) 803-2040
	(910) 803-2050

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Keely Peterson Brown
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	17 Years
Location	107 Triton Ln, Surf City, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Keely Peterson Brown graduated from medical school in 2009

NPI Data:

NPI Number: 1366877870
Provider Enumeration Date: 09/04/2013
Last Update Date: 04/16/2026

Medicare PECOS Information:

PECOS PAC ID: 9032342878
Enrollment ID: I20230925003292

Medical Identifiers

Medical identifiers for Mrs Keely Peterson Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366877870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P22144 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Physical Therapy, Llc	8426313925	4
Benchmark Physical Therapy Of North Carolina, Llc	1052609278	236

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 Keely Peterson Brown allows following entities to bill medicare on her behalf.

Provider Name	Benchmark Physical Therapy Of North Carolina Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1356894604 PECOS PAC ID: 1052609278 Enrollment ID: O20161004000926

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 Keely Peterson Brown 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 Keely Peterson Brown, PT 107 Triton Ln, Surf City, NC 28445-6923 Ph: (910) 803-2040	Mrs Keely Peterson Brown, PT 107 Triton Ln, Surf City, NC 28445-6923 Ph: (910) 803-2040

Reviews and Comments

Physical Therapist in Surf City, NC

Benchmark Physical Therapy Of Nc, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13500 Nc Highway 50 Ste 103, Surf City, NC 28445 Phone: 910-507-1009
Tina Fortier, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Triton Ln, Surf City, NC 28445 Phone: 910-803-2040 Fax: 910-803-2050
David Alan Deitz, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Triton Ln, Surf City, NC 28445 Phone: 910-803-2040 Fax: 910-803-2050
Samantha Lesley Watson, PT, DPT, MBA Physical Therapist Medicare: Medicare Enrolled Practice Location: 13094 Nc Highway 50 Ste B, Surf City, NC 28445 Phone: 910-803-0054
Big Moves Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13094 Nc Highway 50 Ste B, Surf City, NC 28445 Phone: 910-803-0054 Fax: 910-803-0168

Mrs Keely Peterson Brown, PT - Medicare Physical Therapist in Surf City, NC