Brock Lister, in Tampa, FL - Medicare Physical Therapist Provider

Brock Lister, is a medicare enrolled "Physical Therapist" provider in Tampa, Florida. His current practice location is 802 E Whiting St, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (716) 523-1783.

Brock Lister is licensed to practice in Florida (license number 31894) 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 1245612522.

Contact Information

	Brock Lister,
	802 E Whiting St, Tampa, FL 33602-4136
	(716) 523-1783
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brock Lister
Gender	Male
Speciality	Physical Therapist
Location	802 E Whiting St, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245612522
Provider Enumeration Date: 06/23/2015
Last Update Date: 03/22/2024

Medicare PECOS Information:

PECOS PAC ID: 5597107185
Enrollment ID: I20240528003860

Medical Identifiers

Medical identifiers for Brock Lister such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245612522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	31894 (Florida)	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. Brock Lister allows following entities to bill medicare on his behalf.

Provider Name	Visitry Florida Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1659131837 PECOS PAC ID: 4688016272 Enrollment ID: O20240528003846

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. Brock Lister 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
Brock Lister, 802 E Whiting St, Tampa, FL 33602-4136 Ph: (716) 523-1783	Brock Lister, 802 E Whiting St, Tampa, FL 33602-4136 Ph: (716) 523-1783

Reviews and Comments

Physical Therapist in Tampa, FL

Mary Cathleen Brooke, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12425 Race Track Rd, Ste. 100, Tampa, FL 33626 Phone: 866-568-9068 Fax: 866-360-5916
Mrs. Jennifer Michelle Terry, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11812 N 56th St, Tampa, FL 33617 Phone: 813-857-7800 Fax: 813-988-5837
Eleanor Innocent, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613 Phone: 813-615-7200
Sara Brett, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N West Shore Blvd, Suite 600, Tampa, FL 33609 Phone: 407-833-8815
Kristen Webbers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979
Sophia Prassas, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979
Jamie Birmingham, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979

Brock Lister, - Medicare Physical Therapist in Tampa, FL