Garrett Stacy, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" physician in San Antonio, Texas. His current practice location is
12151 Sonni Fld, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at
(202) 747-4224.
Garrett Stacy is licensed to practice in Texas (license number 1324772) 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 1205392537.
Physician's Profile
| Full Name | Garrett Stacy |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 12151 Sonni Fld, San Antonio, Texas |
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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: 1205392537
- Provider Enumeration Date: 02/12/2019
- Last Update Date: 09/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 4880925387
- Enrollment ID: I20191015001879
Medical Identifiers
Medical identifiers for Garrett Stacy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205392537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 2305212496 (Virginia) | Secondary |
| 225100000X | Physical Therapist | 1324772 (Texas) | 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. Garrett Stacy allows following entities to bill medicare on his behalf.
| Entity Name | Healthpro Heritage Rehab & Fitness Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1952531154
PECOS PAC ID: 6507832573
Enrollment ID: O20160330000839 |
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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. Garrett Stacy 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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Garrett Stacy, PHYSICAL THERAPIST
8575 Rixlew Ln,
Manassas, VA 20109-3701
Ph: (703) 257-9770 | Garrett Stacy, PHYSICAL THERAPIST
12151 Sonni Fld,
San Antonio, TX 78253-5499
Ph: (202) 747-4224 |
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