Brandon Evans, PT, DPT is a medicare enrolled "Physical Therapist" provider in Lyndon, Kentucky. His current practice location is
812 Lyndon Ln Ste 101, Lyndon, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 512-2165.
Brandon Evans is licensed to practice in Kentucky (license number 007142) 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 1922634237.
Healthcare Provider's Profile
| Full Name | Brandon Evans |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 812 Lyndon Ln Ste 101, Lyndon, Kentucky |
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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: 1922634237
- Provider Enumeration Date: 03/18/2020
- Last Update Date: 02/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496191066
- Enrollment ID: I20240306002552
Medical Identifiers
Medical identifiers for Brandon Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922634237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 007142 (Kentucky) | 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. Brandon Evans allows following entities to bill medicare on his behalf.
| Provider Name | Proactive Physical Therapy |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1255929691
PECOS PAC ID: 4587000153
Enrollment ID: O20240306002359 |
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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. Brandon Evans 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 |
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Brandon Evans, PT, DPT
10012 Spruce Grove Dr,
Louisville, KY 40299-3380
Ph: (812) 406-6854 | Brandon Evans, PT, DPT
812 Lyndon Ln Ste 101,
Lyndon, KY 40222-3844
Ph: (502) 512-2165 |
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