Devon Dusseault, DPT is a medicare enrolled "Physical Therapist" provider in East Granby, Connecticut. His current practice location is
3 Turkey Hills Rd # 3s, East Granby, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 966-2163.
Devon Dusseault is licensed to practice in Massachusetts (license number 25715) 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 1861168437.
Healthcare Provider's Profile
Full Name | Devon Dusseault |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 3 Turkey Hills Rd # 3s, East Granby, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861168437
- Provider Enumeration Date: 08/23/2021
- Last Update Date: 04/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618375239
- Enrollment ID: I20211013000558
Medical Identifiers
Medical identifiers for Devon Dusseault such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861168437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 25715 (Massachusetts) | 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. Devon Dusseault allows following entities to bill medicare on his behalf.
Provider Name | Resilience Physical Therapy And Wellness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1679123582 PECOS PAC ID: 2567892607 Enrollment ID: O20200414000432 |
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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. Devon Dusseault 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 |
Devon Dusseault, DPT 41 Fourth Street, Suffield, CT 06078 Ph: () - | Devon Dusseault, DPT 3 Turkey Hills Rd # 3s, East Granby, CT 06026-9564 Ph: (860) 966-2163 |
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