Brent Proctor, PT in Olympia, WA - Medicare Physical Therapist Provider

Brent Proctor, PT is a medicare enrolled "Physical Therapist" provider in Olympia, Washington. His current practice location is 420 Lilly Rd Ne, 103, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 459-0260.

Brent Proctor is licensed to practice in Washington (license number 00002404) 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 1386927010.

Contact Information

	Brent Proctor, PT
	420 Lilly Rd Ne, 103, Olympia, WA 98506-5184
	(360) 459-0260
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brent Proctor
Gender	Male
Speciality	Physical Therapist
Location	420 Lilly Rd Ne, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386927010
Provider Enumeration Date: 09/20/2011
Last Update Date: 09/20/2011

Medicare PECOS Information:

PECOS PAC ID: 4183923113
Enrollment ID: I20160426001486

Medical Identifiers

Medical identifiers for Brent Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386927010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	00002404 (Washington)	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. Brent Proctor allows following entities to bill medicare on his behalf.

Provider Name	Apple Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902808470 PECOS PAC ID: 7810892072 Enrollment ID: O20031202000184

Provider Name	Orthopaedic And Neurological Rehab Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20201013001075

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. Brent Proctor 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
Brent Proctor, PT 2104 E Lafayette Pl, Milwaukee, WI 53202-1331 Ph: () -	Brent Proctor, PT 420 Lilly Rd Ne, 103, Olympia, WA 98506-5184 Ph: (360) 459-0260

Reviews and Comments

Physical Therapist in Olympia, WA

Ms. Claire Catherine Orazem, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Providence Lane Ne, Olympia, WA 98506 Phone: 360-493-4995 Fax: 360-493-4470
Mr. Jonathan P. Jove, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Limited Ln Nw Ste 100, Olympia, WA 98502 Phone: 253-350-1869 Fax: 360-292-7247
Laura Ashley Alyas, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3901 Capital Mall Dr Sw Ste D, Olympia, WA 98502 Phone: 360-709-6221
Mrs. Cheryl Bonebrake Howard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3015 Limited Ln Nw, Ste B, Olympia, WA 98502 Phone: 360-709-0700 Fax: 360-709-0703
Angelica Kim, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Providence Ln Ne, Emilie Gamelin Pavilion, 2nd Floor, Olympia, WA 98506 Phone: 360-493-4995
Victoria Chenoweth, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2102 Carriage St Sw Ste B, Olympia, WA 98502 Phone: 360-866-0408
Rachael C Loebach, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 360 Lilly Rd Ne, Suite A, Olympia, WA 98506 Phone: 360-486-0640 Fax: 360-486-0641

Brent Proctor, PT - Medicare Physical Therapist in Olympia, WA