Bradley Sufficool, DPT is a medicare enrolled "Physical Therapist" provider in Jacksboro, Tennessee. His current practice location is
2838 Appalachian Hwy Ste 2, Jacksboro, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 566-2356.
Bradley Sufficool is licensed to practice in Tennessee (license number 14465) 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 1811624133.
Healthcare Provider's Profile
Full Name | Bradley Sufficool |
---|
Gender | Male |
---|
Speciality | Physical Therapist |
---|
Location | 2838 Appalachian Hwy Ste 2, Jacksboro, Tennessee |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811624133
- Provider Enumeration Date: 08/05/2022
- Last Update Date: 08/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567845621
- Enrollment ID: I20220823000689
Medical Identifiers
Medical identifiers for Bradley Sufficool such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811624133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 14465 (Tennessee) | 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. Bradley Sufficool allows following entities to bill medicare on his behalf.
Provider Name | Agilitas Usa Inc |
---|
Provider Type | Part B Supplier - Clinic/group Practice |
---|
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
---|
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. Bradley Sufficool 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 |
Bradley Sufficool, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7568 | Bradley Sufficool, DPT 2838 Appalachian Hwy Ste 2, Jacksboro, TN 37757-2829 Ph: (423) 566-2356 |
Reviews and Comments