Bradley Vandivere, DPT in Sheridan, AR - Medicare Physical Therapist Provider

Bradley Vandivere, DPT is a medicare enrolled "Physical Therapist" provider in Sheridan, Arkansas. His current practice location is 1210 N Rock St, Sheridan, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 942-0760.

Bradley Vandivere is licensed to practice in Arkansas (license number 5546) 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 1275365520.

Contact Information

	Bradley Vandivere, DPT
	1210 N Rock St, Sheridan, AR 72150-7761
	(870) 942-0760
	(870) 942-0783

Map and Direction

Healthcare Provider's Profile

Full Name	Bradley Vandivere
Gender	Male
Speciality	Physical Therapist
Location	1210 N Rock St, Sheridan, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275365520
Provider Enumeration Date: 08/15/2024
Last Update Date: 08/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6608317789
Enrollment ID: I20240916003924

Medical Identifiers

Medical identifiers for Bradley Vandivere such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275365520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5546 (Arkansas)	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 Vandivere allows following entities to bill medicare on his behalf.

Provider Name	Pro Active Rehab, Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1215021159 PECOS PAC ID: 2668482340 Enrollment ID: O20060425000699

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 Vandivere 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 Vandivere, DPT Po Box 1890, Benton, AR 72018-1890 Ph: (501) 778-4960	Bradley Vandivere, DPT 1210 N Rock St, Sheridan, AR 72150-7761 Ph: (870) 942-0760

Reviews and Comments

Physical Therapist in Sheridan, AR

Andrew Davis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1210 N Rock St, Sheridan, AR 72150 Phone: 870-942-0760 Fax: 870-942-0783
Mrs. Chessica Porterfield, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 N Rock St, Sheridan, AR 72150 Phone: 870-942-3135 Fax: 870-942-2931
Ashton Paige Hill, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1210 Rock Street, Sheridan, AR 72150 Phone: 870-942-0760
Mr. Roger W Saenger, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 Opportunity Drive, Sheridan, AR 72150 Phone: 870-942-8335 Fax: 870-942-2234
Pro Active Rehab, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1210 N Rock St, Sheridan, AR 72150 Phone: 870-942-0760 Fax: 870-942-0783
Physical Therapist Medicare: Medicare Enrolled Practice Location: 15 Opportunity Dr, Sheridan, AR 72150 Phone: 870-942-8335 Fax: 870-942-2234

Bradley Vandivere, DPT - Medicare Physical Therapist in Sheridan, AR