Carroll E Brown, PT is a medicare enrolled "Physical Therapist" provider in Walnut, Mississippi. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Athletico Ltd and his current practice location is
130a James Otis Smith Dr, Walnut, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 223-0064.
Carroll E Brown is licensed to practice in Mississippi (license number PT549) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235177064.
Healthcare Provider's Profile
| Full Name | Carroll E Brown |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 16 Years |
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| Location | 130a James Otis Smith Dr, Walnut, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carroll E Brown graduated from medical school in 2008
NPI Data:
- NPI Number: 1235177064
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628244548
- Enrollment ID: I20200310000630
Medical Identifiers
Medical identifiers for Carroll E Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235177064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT549 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Athletico Ltd | 4789602681 | 1963 |
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. Carroll E Brown allows following entities to bill medicare on his behalf.
| Provider Name | Actimed, 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: 1386147817
PECOS PAC ID: 1850642547
Enrollment ID: O20180919001517 |
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| Provider Name | Athletico Ltd |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1477224814
PECOS PAC ID: 4789602681
Enrollment ID: O20211115001046 |
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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. Carroll E Brown 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 |
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Carroll E Brown, PT
2122 York Rd Ste 300,
Oak Brook, IL 60523-1925
Ph: () - | Carroll E Brown, PT
130a James Otis Smith Dr,
Walnut, MS 38683
Ph: (662) 223-0064 |
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