Blake Landry Queen, PT in Cullowhee, NC - Medicare Physical Therapy Provider

Blake Landry Queen, PT is a medicare enrolled "Physical Therapist" provider in Cullowhee, North Carolina. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Smoky Mountain Sports Medicine And Physical Therapy, Inc. and his current practice location is 594 Centennial Dr, Cullowhee, North Carolina. You can reach out to his office (for appointments etc.) via phone at (828) 550-3923.

Blake Landry Queen is licensed to practice in North Carolina (license number P14915) 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 1477920684.

Contact Information

	Blake Landry Queen, PT
	594 Centennial Dr, Cullowhee, NC 28723-1589
	(828) 550-3923
	(828) 354-0209

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Landry Queen
Gender	Male
Speciality	Physical Therapy
Experience	10 Years
Location	594 Centennial Dr, Cullowhee, North Carolina
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 Landry Queen graduated from medical school in 2014

NPI Data:

NPI Number: 1477920684
Provider Enumeration Date: 08/24/2015
Last Update Date: 10/14/2023

Medicare PECOS Information:

PECOS PAC ID: 6002116340
Enrollment ID: I20151118001908

Medical Identifiers

Medical identifiers for Blake Landry Queen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477920684	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P14915 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Smoky Mountain Sports Medicine And Physical Therapy, Inc.	6002180387	17

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 Landry Queen allows following entities to bill medicare on his behalf.

Provider Name	Smoky Mountain Sports Medicine & Physical Therapy, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1710419619 PECOS PAC ID: 6002180387 Enrollment ID: O20170926000891

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 Landry Queen 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 Landry Queen, PT 90 E Main St Ste A, Sylva, NC 28779-3030 Ph: (828) 631-3009	Blake Landry Queen, PT 594 Centennial Dr, Cullowhee, NC 28723-1589 Ph: (828) 550-3923

Reviews and Comments

Physical Therapist in Cullowhee, NC

Edgar Davis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4121 Little Savannah Rd, Cullowhee, NC 28723 Phone: 704-954-4815
Andrew Allison, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4539 Little Savannah Rd Apt 1411, Cullowhee, NC 28723 Phone: 540-309-3329
Ashley Rae Watamura, PT, DPT, PHD (C) Physical Therapist Medicare: Medicare Enrolled Practice Location: 3971 Little Savannah Rd Suite 113, Cullowhee, NC 28723 Phone: 828-293-5174 Fax: 828-293-0008
Mr. James Reece Scifers, DSCPT, PT, SCS, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 Moore Hall, Cullowhee, NC 28723 Phone: 828-227-2147 Fax: 828-227-7446
Tyler Nelson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3971 Little Savannah Rd, Suite 113, Cullowhee, NC 28723 Phone: 828-293-5174
Ellen Schingle, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3971 Little Savannah Road Suite 113, Cullowhee, NC 28723 Phone: 828-293-5174

Blake Landry Queen, PT - Medicare Physical Therapist in Cullowhee, NC