Mrs Rebecca Ann Peacock, PT, MPT, ATP is a medicare enrolled "Physical Therapist" provider in Bruceville, Texas. Her current practice location is
117 Northern Star, Bruceville, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 857-9961.
Mrs Rebecca Ann Peacock is licensed to practice in Texas (license number 1114700) 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 1265653794.
Healthcare Provider's Profile
| Full Name | Mrs Rebecca Ann Peacock |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 117 Northern Star, Bruceville, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1265653794
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 06/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 5991053357
- Enrollment ID: I20180802000098
Medical Identifiers
Medical identifiers for Mrs Rebecca Ann Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265653794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 1114700 (Texas) | Primary |
| 2251N0400X | Physical Therapist - Neurology | 1114700 (Texas) | Secondary |
| 2251P0200X | Physical Therapist - Pediatrics | 1114700 (Texas) | 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 Rebecca Ann Peacock allows following entities to bill medicare on her behalf.
| Provider Name | Pt Care Specialists, Llc |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1396319836
PECOS PAC ID: 1153720685
Enrollment ID: O20210602003274 |
|---|
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 Rebecca Ann Peacock 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 Rebecca Ann Peacock, PT, MPT, ATP
1500 Jackson St, Ste 400,
Richmond, TX 77469-3250
Ph: (281) 344-8900 | Mrs Rebecca Ann Peacock, PT, MPT, ATP
117 Northern Star,
Bruceville, TX 76630-3282
Ph: (254) 857-9961 |
Reviews and Comments