Breanna Roderos, DPT in Pooler, GA - Medicare Physical Therapy Provider

Breanna Roderos, DPT is a medicare enrolled "Physical Therapist" provider in Pooler, Georgia. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Agilitas Usa Inc, Results-ast Jv Llc and her current practice location is 119 Canal St Ste 104, Pooler, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 330-8444.

Breanna Roderos is licensed to practice in Georgia (license number CP007937T) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144998972.

Contact Information

	Breanna Roderos, DPT
	119 Canal St Ste 104, Pooler, GA 31322-4094
	(912) 330-8444
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Breanna Roderos
Gender	Female
Speciality	Physical Therapy
Experience	3 Years
Location	119 Canal St Ste 104, Pooler, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Breanna Roderos graduated from medical school in 2021

NPI Data:

NPI Number: 1144998972
Provider Enumeration Date: 09/07/2021
Last Update Date: 05/17/2022

Medicare PECOS Information:

PECOS PAC ID: 2961808175
Enrollment ID: I20220329002396

Medical Identifiers

Medical identifiers for Breanna Roderos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144998972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP007937T (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agilitas Usa Inc	3375454648	681
Results-ast Jv Llc	4486066396	350

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. Breanna Roderos allows following entities to bill medicare on her behalf.

Provider Name	Independent Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202

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

Provider Name	Results-ast Jv Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061

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. Breanna Roderos 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
Breanna Roderos, DPT 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915 Ph: () -	Breanna Roderos, DPT 119 Canal St Ste 104, Pooler, GA 31322-4094 Ph: (912) 330-8444

Reviews and Comments

Physical Therapist in Pooler, GA

Dr. Jeremy Kyle Frankum, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 123 Canal St Ste 203, Pooler, GA 31322 Phone: 912-388-1283 Fax: 912-988-1652
Benchmark Pt - Pooler Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 Canal St, Ste 104, Pooler, GA 31322 Phone: 912-330-8444 Fax: 912-330-8844
Leanne Estrada, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 Olde Gate Ct, Pooler, GA 31322 Phone: 904-505-8375 Fax: 912-244-9953
Sandipkumar I. Patel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1721 Osprey Point Cir, Pooler, GA 31322 Phone: 248-412-3450
Dr. Ashley Craig Langford, DPT, FAAOMPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 123 Canal St Ste 203, Pooler, GA 31322 Phone: 912-988-1283 Fax: 843-986-9369
Mrs. Brandi Anne Zetrouer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 139 Pampas Dr, Pooler, GA 31322 Phone: 912-844-3227

Breanna Roderos, DPT - Medicare Physical Therapist in Pooler, GA