Mr Bryan D Hathaway, PT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Onego, New York. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Peak Performance Physical Therapy Pllc and his current practice location is
115 Hickories Park Road, Onego, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 687-7645.
Mr Bryan D Hathaway is licensed to practice in New York (license number 0116511) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669535563.
Physician's Profile
| Full Name | Mr Bryan D Hathaway |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 34 Years |
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| Location | 115 Hickories Park Road, Onego, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Bryan D Hathaway graduated from medical school in 1990
NPI Data:
- NPI Number: 1669535563
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8527099951
- Enrollment ID: I20111129000321
Medical Identifiers
Medical identifiers for Mr Bryan D Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669535563 | NPI | - | NPPES |
| 10054748 | Other | NY | CDPHP |
| 7357124 | Other | NY | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 0116511 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Peak Performance Physical Therapy Pllc | 2466483896 | 4 |
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. Mr Bryan D Hathaway allows following entities to bill medicare on his behalf.
| Entity Name | Peak Performance Physical Therapy Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295860765
PECOS PAC ID: 2466483896
Enrollment ID: O20050825000774 |
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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. Mr Bryan D Hathaway 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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Mr Bryan D Hathaway, PT
115 Hickories Park Road,
Owego, NY 13827
Ph: (607) 687-7645 | Mr Bryan D Hathaway, PT
115 Hickories Park Road,
Onego, NY 13827
Ph: (607) 687-7645 |
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