Sarah Elise Blackledge, DPT in Petal, MS - Medicare Physical Therapist Provider

Sarah Elise Blackledge, DPT is a medicare enrolled "Physical Therapist" provider in Petal, Mississippi. Her current practice location is 206 Old Corinth Rd, Petal, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 583-9464.

Sarah Elise Blackledge is licensed to practice in * (Not Available) (license number ) 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 1972917367.

Contact Information

	Sarah Elise Blackledge, DPT
	206 Old Corinth Rd, Petal, MS 39465-2932
	(601) 583-9464
	(601) 583-9465

Map and Direction

Healthcare Provider's Profile

Full Name	Sarah Elise Blackledge
Gender	Female
Speciality	Physical Therapist
Location	206 Old Corinth Rd, Petal, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972917367
Provider Enumeration Date: 06/13/2014
Last Update Date: 07/20/2020

Medicare PECOS Information:

PECOS PAC ID: 8820311079
Enrollment ID: I20141219001833

Medical Identifiers

Medical identifiers for Sarah Elise Blackledge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972917367	NPI	-	NPPES
05538733	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Sarah Elise Blackledge allows following entities to bill medicare on her behalf.

Provider Name	Hattiesburg Clinic Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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. Sarah Elise Blackledge 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
Sarah Elise Blackledge, DPT 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 583-9464	Sarah Elise Blackledge, DPT 206 Old Corinth Rd, Petal, MS 39465-2932 Ph: (601) 583-9464

Reviews and Comments

Physical Therapist in Petal, MS

Kalyn M Preiss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1229 Highway 42 Ste 260, Petal, MS 39465 Phone: 601-909-2925 Fax: 601-909-2952
Drayer Physcial Therapy Mississippi Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1229 Highway 42, Suite 260, Petal, MS 39465 Phone: 601-909-2925 Fax: 601-909-2952
Erin Thoms, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1229 Highway 42 Ste 260, Petal, MS 39465 Phone: 601-909-2925
Zachary Bruce Kulzer, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 206 Old Corinth Rd, Petal, MS 39465 Phone: 601-583-9464 Fax: 601-579-5240
Mrs. Amye B Lovitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Eastbrook Dr, Petal, MS 39465 Phone: 601-544-0500 Fax: 601-544-0505
Nathanael Webb, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1229 Highway 42 Ste 260, Petal, MS 39465 Phone: 601-909-2925
Aaron Rylander, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1044 Highway 42, Petal, MS 39465 Phone: 601-544-0500 Fax: 601-544-0505

Sarah Elise Blackledge, DPT - Medicare Physical Therapist in Petal, MS