Sean Joseph Scully, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Peoria, Arizona. His current practice location is
9784 W Yearling Rd Unit 1520, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 412-2117.
Sean Joseph Scully is licensed to practice in Arizona (license number LPT-30300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679056444.
Healthcare Provider's Profile
| Full Name | Sean Joseph Scully |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 9784 W Yearling Rd Unit 1520, Peoria, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679056444
- Provider Enumeration Date: 09/07/2018
- Last Update Date: 05/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991173973
- Enrollment ID: I20221122003371
Medical Identifiers
Medical identifiers for Sean Joseph Scully such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679056444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | LPT-30300 (Arizona) | 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. Sean Joseph Scully allows following entities to bill medicare on his behalf.
| Provider Name | Orthopedic & Sport Rehab Specialists At Anthem Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1821109356
PECOS PAC ID: 8527961978
Enrollment ID: O20040202000051 |
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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. Sean Joseph Scully 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 |
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Sean Joseph Scully, DPT
41125 N Daisy Mountain Dr Ste 121,
Phoenix, AZ 85086-4964
Ph: (480) 265-2132 | Sean Joseph Scully, DPT
9784 W Yearling Rd Unit 1520,
Peoria, AZ 85383-1379
Ph: (623) 412-2117 |
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