Jeffrey Fairman, PT is a medicare enrolled "Physical Therapist" physician in Savage, Maryland. His current practice location is
8725 Bollman Pl Ste 4, Savage, Maryland. You can reach out to his office (for appointments etc.) via phone at
(240) 577-1367.
Jeffrey Fairman is licensed to practice in Maryland (license number 25812) 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 1780040873.
Physician's Profile
Full Name | Jeffrey Fairman |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 8725 Bollman Pl Ste 4, Savage, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780040873
- Provider Enumeration Date: 01/06/2016
- Last Update Date: 02/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759649494
- Enrollment ID: I20171229001124
Medical Identifiers
Medical identifiers for Jeffrey Fairman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780040873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 25812 (Maryland) | Secondary |
225100000X | Physical Therapist | 25812 (Maryland) | 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. Jeffrey Fairman allows following entities to bill medicare on his behalf.
Entity Name | Revolution Sports Medicine |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Entity Identifiers | NPI Number: 1083096499 PECOS PAC ID: 8628359213 Enrollment ID: O20161219001302 |
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Entity Name | Dmv Home Therapy Opco 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: 1699237560 PECOS PAC ID: 7517200751 Enrollment ID: O20200323001718 |
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Entity Name | Without Limits Running, 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: 1104550466 PECOS PAC ID: 2961843438 Enrollment ID: O20240515001166 |
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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. Jeffrey Fairman 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 |
Jeffrey Fairman, PT 10518 William Tell Ln, Columbia, MD 21044-2425 Ph: (240) 577-1367 | Jeffrey Fairman, PT 8725 Bollman Pl Ste 4, Savage, MD 20763-9751 Ph: (240) 577-1367 |
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