Bryan Sho Odakura, PT in Austell, GA - Medicare Physical Therapist Provider

Bryan Sho Odakura, PT is a medicare enrolled "Physical Therapist" provider in Austell, Georgia. His current practice location is 1025 E West Connector, Ste 406, Austell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 384-1001.

Bryan Sho Odakura is licensed to practice in Georgia (license number ) 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 1689073249.

Contact Information

	Bryan Sho Odakura, PT
	1025 E West Connector, Ste 406, Austell, GA 30106-8513
	(770) 384-1001
	(770) 384-0333

Map and Direction

Healthcare Provider's Profile

Full Name	Bryan Sho Odakura
Gender	Male
Speciality	Physical Therapist
Location	1025 E West Connector, Austell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689073249
Provider Enumeration Date: 08/20/2014
Last Update Date: 08/20/2014

Medicare PECOS Information:

PECOS PAC ID: 2567786775
Enrollment ID: I20150116001709

Medical Identifiers

Medical identifiers for Bryan Sho Odakura such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689073249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(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. Bryan Sho Odakura allows following entities to bill medicare on his behalf.

Provider Name	Resurgens, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386697928 PECOS PAC ID: 1153224142 Enrollment ID: O20040128000595

Provider Name	Emory Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776

Provider Name	Georgia Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811

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. Bryan Sho Odakura 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
Bryan Sho Odakura, PT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-8907	Bryan Sho Odakura, PT 1025 E West Connector, Ste 406, Austell, GA 30106-8513 Ph: (770) 384-1001

Reviews and Comments

Physical Therapist in Austell, GA

Neely Tolbert Sullivan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 E West Connector # 4, Suite 406, Austell, GA 30106 Phone: 770-384-1001 Fax: 770-384-0333
Dr. Emily Victoria Russell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3999 Austell Rd Ste 701, Austell, GA 30106 Phone: 770-739-0090
Agnes Kim, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 E West Connector Ste 406, Austell, GA 30106 Phone: 770-384-1001 Fax: 770-384-0333
Kathryn T Abebe, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 E West Connector Ste 406, Austell, GA 30106 Phone: 770-740-8592 Fax: 770-752-9478
Kristi S Dean, THERAPY DIR. I Physical Therapist Medicare: Medicare Enrolled Practice Location: 3999 Austell Rd, Austell, GA 30106 Phone: 770-739-0090
Mcpars Physical Therapy And Rehab Associates Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd Ste 101, Austell, GA 30106 Phone: 770-443-4483 Fax: 770-443-4410
Cyanna Broughton, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1025 E West Connector Ste 406, Austell, GA 30106 Phone: 770-384-1001

Bryan Sho Odakura, PT - Medicare Physical Therapist in Austell, GA