Dr Gracie Jean Byrum, PT DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Jeffersonville, Indiana. Her current practice location is
3121 E 10th St, Jeffersonville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 218-8039.
Dr Gracie Jean Byrum is licensed to practice in Indiana (license number 05015628A) 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 1215767850.
Physician's Profile
| Full Name | Dr Gracie Jean Byrum |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 3121 E 10th St, Jeffersonville, Indiana |
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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: 1215767850
- Provider Enumeration Date: 08/07/2024
- Last Update Date: 08/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799224481
- Enrollment ID: I20240826003318
Medical Identifiers
Medical identifiers for Dr Gracie Jean Byrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215767850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 05015628A (Indiana) | 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. Dr Gracie Jean Byrum allows following entities to bill medicare on her behalf.
| Entity Name | Sn Kentuckiana Rehab Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295208684
PECOS PAC ID: 1254671464
Enrollment ID: O20190328002025 |
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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. Dr Gracie Jean Byrum 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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Dr Gracie Jean Byrum, PT DPT
10046 Whispering Wind Dr,
Greenville, IN 47124-9703
Ph: () - | Dr Gracie Jean Byrum, PT DPT
3121 E 10th St,
Jeffersonville, IN 47130-7222
Ph: (812) 218-8039 |
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