Clint Allen Bacchus, PT, DPT in Russellville, AR - Medicare Physical Therapy Provider

Clint Allen Bacchus, PT, DPT is a medicare enrolled "Physical Therapist" provider in Russellville, Arkansas. He went to University Of Texas Medical Branch At Galveston and graduated in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice 3d Physical Therapy And Sports Medicine, Llc and his current practice location is 115 Skyline Drive, Suite A, Russellville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 967-5155.

Clint Allen Bacchus is licensed to practice in Arkansas (license number 4282) 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 1053840447.

Contact Information

	Clint Allen Bacchus, PT, DPT
	115 Skyline Drive, Suite A, Russellville, AR 72802-3310
	(479) 967-5155
	(479) 967-5141

Map and Direction

Healthcare Provider's Profile

Full Name	Clint Allen Bacchus
Gender	Male
Speciality	Physical Therapy
Experience	7 Years
Location	115 Skyline Drive, Russellville, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Clint Allen Bacchus attended and graduated from University Of Texas Medical Branch At Galveston in 2017

NPI Data:

NPI Number: 1053840447
Provider Enumeration Date: 06/08/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3072872530
Enrollment ID: I20180110000188

Medical Identifiers

Medical identifiers for Clint Allen Bacchus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053840447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4282 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
3d Physical Therapy And Sports Medicine, Llc	2163781626	3

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. Clint Allen Bacchus allows following entities to bill medicare on his behalf.

Provider Name	3d Physical Therapy And Sports Medicine, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1992216642 PECOS PAC ID: 2163781626 Enrollment ID: O20180109002804

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. Clint Allen Bacchus 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
Clint Allen Bacchus, PT, DPT 115 Skyline Dr Ste A, Russellville, AR 72802-3310 Ph: (479) 967-5155	Clint Allen Bacchus, PT, DPT 115 Skyline Drive, Suite A, Russellville, AR 72802-3310 Ph: (479) 967-5155

Reviews and Comments

Physical Therapist in Russellville, AR

Seth B. Coulter, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 115 Skyline Dr, Suite A, Russellville, AR 72802 Phone: 479-967-5155 Fax: 479-967-5141
Ms. Brandi Nicole Koch, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Rd, Russellville, AR 72802 Phone: 479-967-2316 Fax: 479-967-3639
Jacqueline Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 3rd St, Russellville, AR 72801 Phone: 479-968-1198 Fax: 479-967-1178
Nicholas Paul Lensing, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 N Sidney Ave, Russellville, AR 72801 Phone: 479-890-5494 Fax: 479-967-0069
Mr. Jerry Wayne Manning, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3016 W Main St Ste 200, Russellville, AR 72801 Phone: 479-967-9657 Fax: 479-967-9658
Kimberly D Mcdougal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Reasoner Ln, Russellville, AR 72802 Phone: 479-970-2175 Fax: 479-964-2126
Allison Young, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 E 3rd St, Russellville, AR 72801 Phone: 479-968-1198

Clint Allen Bacchus, PT, DPT - Medicare Physical Therapist in Russellville, AR