Brooke Davidson, is a medicare enrolled "Physical Therapist" provider in Suwanee, Georgia. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Sportscare Physical Therapy, Inc and her current practice location is
4310 Johns Creek Pkwy Ste 130, Suwanee, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 495-0610.
Brooke Davidson is licensed to practice in Georgia (license number PT015387) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740687284.
Healthcare Provider's Profile
| Full Name | Brooke Davidson |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 3 Years |
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| Location | 4310 Johns Creek Pkwy Ste 130, Suwanee, Georgia |
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| Accepts Medicare Assignments | Yes. She 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:
- Brooke Davidson graduated from medical school in 2021
NPI Data:
- NPI Number: 1740687284
- Provider Enumeration Date: 11/27/2014
- Last Update Date: 07/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961808944
- Enrollment ID: I20210831002769
Medical Identifiers
Medical identifiers for Brooke Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740687284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225700000X | Massage Therapist | MT009167 (Georgia) | Secondary |
| 225100000X | Physical Therapist | PT015387 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sportscare Physical Therapy, Inc | 3274546197 | 10 |
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. Brooke Davidson allows following entities to bill medicare on her behalf.
| Provider Name | Sportscare Physical Therapy, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962459883
PECOS PAC ID: 3274546197
Enrollment ID: O20060719000167 |
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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. Brooke Davidson 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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Brooke Davidson,
2990 Spindletop Dr,
Cumming, GA 30041-6321
Ph: (770) 889-3163 | Brooke Davidson,
4310 Johns Creek Pkwy Ste 130,
Suwanee, GA 30024-6092
Ph: (770) 495-0610 |
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