Phillip King, OTR/L is a medicare enrolled "Occupational Therapist" provider in Salem, West Virginia. His current practice location is
225 Sunbridge Dr., Salem, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 782-3000.
Phillip King is licensed to practice in West Virginia (license number 2022) 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 1063972099.
Healthcare Provider's Profile
| Full Name | Phillip King |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 225 Sunbridge Dr., Salem, West Virginia |
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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: 1063972099
- Provider Enumeration Date: 03/25/2019
- Last Update Date: 03/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 6608237631
- Enrollment ID: I20230807002248
Medical Identifiers
Medical identifiers for Phillip King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063972099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 2022 (West Virginia) | 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. Phillip King allows following entities to bill medicare on his behalf.
| Provider Name | Powerback Rehabilitation Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1336858398
PECOS PAC ID: 2365359932
Enrollment ID: O20230426003181 |
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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. Phillip King 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 |
|---|
Phillip King, OTR/L
1121 Queens Ct,
Morgantown, WV 26508-9161
Ph: () - | Phillip King, OTR/L
225 Sunbridge Dr.,
Salem, WV 26426
Ph: (304) 782-3000 |
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