Dr Brooke Terilli, PT, DPT is a medicare enrolled "Physical Therapist" provider in Baldwin, Georgia. Her current practice location is
126 Professional Dr Ste C, Baldwin, Georgia. You can reach out to her office (for appointments etc.) via phone at
(762) 338-0227.
Dr Brooke Terilli is licensed to practice in Georgia (license number PT012444) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376031336.
Healthcare Provider's Profile
| Full Name | Dr Brooke Terilli |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 126 Professional Dr Ste C, Baldwin, Georgia |
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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: 1376031336
- Provider Enumeration Date: 04/25/2018
- Last Update Date: 02/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486025228
- Enrollment ID: I20230614002022
Medical Identifiers
Medical identifiers for Dr Brooke Terilli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376031336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT012444 (Georgia) | 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. Dr Brooke Terilli allows following entities to bill medicare on her behalf.
| Provider Name | Age Fit Physical Therapy And Wellness, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1407517485
PECOS PAC ID: 3577934314
Enrollment ID: O20230113001820 |
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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. Dr Brooke Terilli 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 |
|---|
Dr Brooke Terilli, PT, DPT
164 Fern Valley Dr,
Toccoa, GA 30577-9788
Ph: (762) 338-0227 | Dr Brooke Terilli, PT, DPT
126 Professional Dr Ste C,
Baldwin, GA 30511-4013
Ph: (762) 338-0227 |
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