Tessa D Marie Puckett, PT is a medicare enrolled "Physical Therapist" provider in Eminence, Kentucky. Her current practice location is
151 E Broadway St Ste B, Eminence, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 845-0005.
Tessa D Marie Puckett is licensed to practice in Kentucky (license number 006000) 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 1154693141.
Healthcare Provider's Profile
| Full Name | Tessa D Marie Puckett |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 151 E Broadway St Ste B, Eminence, Kentucky |
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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: 1154693141
- Provider Enumeration Date: 02/06/2012
- Last Update Date: 07/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 4880853720
- Enrollment ID: I20120312000774
Medical Identifiers
Medical identifiers for Tessa D Marie Puckett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154693141 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 006000 (Kentucky) | 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. Tessa D Marie Puckett allows following entities to bill medicare on her behalf.
| Provider Name | Physical Therapy Group, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1871620104
PECOS PAC ID: 5991619686
Enrollment ID: O20031117000792 |
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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. Tessa D Marie Puckett 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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Tessa D Marie Puckett, PT
151 E Broadway St Ste B,
Eminence, KY 40019-1149
Ph: (502) 845-0005 | Tessa D Marie Puckett, PT
151 E Broadway St Ste B,
Eminence, KY 40019
Ph: (502) 845-0005 |
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