Blake Jordan Falconello, DPT in Olive Branch, MS - Medicare Physical Therapy Provider

Blake Jordan Falconello, DPT is a medicare enrolled "Physical Therapist" provider in Olive Branch, Mississippi. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Huling Physical Therapy Llc and his current practice location is 6542 Goodman Rd Ste 101, Olive Branch, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 874-5964.

Blake Jordan Falconello is licensed to practice in Tennessee (license number 13705) 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 1104593599.

Contact Information

	Blake Jordan Falconello, DPT
	6542 Goodman Rd Ste 101, Olive Branch, MS 38654-5559
	(662) 874-5964
	(662) 874-5176

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Jordan Falconello
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	6542 Goodman Rd Ste 101, Olive Branch, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Blake Jordan Falconello graduated from medical school in 2021

NPI Data:

NPI Number: 1104593599
Provider Enumeration Date: 08/24/2021
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 5092112078
Enrollment ID: I20220131000307

Medical Identifiers

Medical identifiers for Blake Jordan Falconello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104593599	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13705 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Huling Physical Therapy Llc	0547633943	2

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. Blake Jordan Falconello allows following entities to bill medicare on his behalf.

Provider Name	Exos Physical Therapy And Sports Medicine, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1053825943 PECOS PAC ID: 3072872738 Enrollment ID: O20180320001198

Provider Name	Huling Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700598349 PECOS PAC ID: 0547633943 Enrollment ID: O20230306002561

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. Blake Jordan Falconello 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
Blake Jordan Falconello, DPT 6542 Goodman Rd Ste 101, Olive Branch, MS 38654-5559 Ph: (662) 874-5964	Blake Jordan Falconello, DPT 6542 Goodman Rd Ste 101, Olive Branch, MS 38654-5559 Ph: (662) 874-5964

Reviews and Comments

Physical Therapist in Olive Branch, MS

Nicholas Bailey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934
Tina Marie Erber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4780 Medora Dr, Olive Branch, MS 38654 Phone: 662-895-1891
Exos Physical Therapy & Sports Medicine, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 205-259-3991
Joshua Mark Day, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934
Tarah L Rudd, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4578 Pleasant Breeze Dr, Olive Branch, MS 38654 Phone: 901-268-9759
Holly Johnson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2268 Ross Rd, Olive Branch, MS 38654 Phone: 662-808-2680 Fax: 662-895-0566

Blake Jordan Falconello, DPT - Medicare Physical Therapist in Olive Branch, MS