Rebecca Slack, PT, DPT in Fairmont, WV - Medicare Physical Therapist Provider

Rebecca Slack, PT, DPT is a medicare enrolled "Physical Therapist" provider in Fairmont, West Virginia. Her current practice location is 1031 Morgantown Ave, Fairmont, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 363-0050.

Rebecca Slack is licensed to practice in West Virginia (license number 004415) 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 1891364113.

Contact Information

	Rebecca Slack, PT, DPT
	1031 Morgantown Ave, Fairmont, WV 26554-4355
	(304) 363-0050
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rebecca Slack
Gender	Female
Speciality	Physical Therapist
Location	1031 Morgantown Ave, Fairmont, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891364113
Provider Enumeration Date: 06/21/2021
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 5799133450
Enrollment ID: I20231120001105

Medical Identifiers

Medical identifiers for Rebecca Slack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891364113	NPI	-	NPPES
004415	Other	WV	WEST VIRGINIA BOARD OF PHYSICAL THERAPY
018457	Other	OH	OHIO BOARD OF PHYSICAL THERAPY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	018457 (Ohio)	Secondary
225100000X	Physical Therapist	004415 (West Virginia)	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. Rebecca Slack allows following entities to bill medicare on her behalf.

Provider Name	Country Roads Physical Therapy And Rehabilitation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831147297 PECOS PAC ID: 5597835603 Enrollment ID: O20080602000409

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. Rebecca Slack 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
Rebecca Slack, PT, DPT 7112 Chadwood Ln Apt 2c, Columbus, OH 43235-3905 Ph: (740) 312-4754	Rebecca Slack, PT, DPT 1031 Morgantown Ave, Fairmont, WV 26554-4355 Ph: (304) 363-0050

Reviews and Comments

Physical Therapist in Fairmont, WV

Jenna Snyder, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 Fairmont Ave, Fairmont, WV 26554 Phone: 304-363-0050 Fax: 304-363-0048
Dr. David Wegert, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1509 Fairmont Ave, Fairmont, WV 26554 Phone: 304-363-0050
Elevate Physical Therapy, Corp. Physical Therapist Medicare: Medicare Enrolled Practice Location: 51 Middletown Rd, Fairmont, WV 26554 Phone: 304-612-5916
Jeniece Marie Kegley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1539 Country Club Rd, Fairmont, WV 26554 Phone: 843-235-9393
Ms. Ila Beth Anderson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51 Southland Dr, Suite 2300, Fairmont, WV 26554 Phone: 304-363-3167 Fax: 304-363-1725
Addison Kaufmann, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1228 Country Club Rd Ste 15, Fairmont, WV 26554 Phone: 304-366-0461
Gabriel Wilson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 719 Fairmont Ave, Suite 102, Fairmont, WV 26554 Phone: 304-363-8543 Fax: 304-363-1073

Rebecca Slack, PT, DPT - Medicare Physical Therapist in Fairmont, WV