Diedra Olin, PT in Woodstock, GA - Medicare Physical Therapist Provider

Diedra Olin, PT is a medicare enrolled "Physical Therapist" provider in Woodstock, Georgia. Her current practice location is 2295 Towne Lake Pkwy Ste 148, Woodstock, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 926-2744.

Diedra Olin is licensed to practice in Georgia (license number PT006303) 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 1417094640.

Contact Information

	Diedra Olin, PT
	2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189-5520
	(770) 926-2744
	(770) 926-2794

Map and Direction

Healthcare Provider's Profile

Full Name	Diedra Olin
Gender	Female
Speciality	Physical Therapist
Location	2295 Towne Lake Pkwy Ste 148, Woodstock, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417094640
Provider Enumeration Date: 01/30/2007
Last Update Date: 03/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3375647837
Enrollment ID: I20070323000016

Medical Identifiers

Medical identifiers for Diedra Olin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417094640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT006303 (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. Diedra Olin allows following entities to bill medicare on her behalf.

Provider Name	Independent Physical Therapy Of Georgia Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396

Provider Name	Benchmark Physical Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120

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. Diedra Olin 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
Diedra Olin, PT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283	Diedra Olin, PT 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189-5520 Ph: (770) 926-2744

Reviews and Comments

Physical Therapist in Woodstock, GA

Amy Kafati, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1432 Towne Lake Pkwy, Ste 120, Woodstock, GA 30189 Phone: 678-445-9799 Fax: 678-445-2688
James Peter Kwan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794
Matthew Payom Ayers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794
Giovani Velez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6236 Holly Springs Pkwy, Ste D8, Woodstock, GA 30188 Phone: 770-800-6770
Scott William Lowe, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794
Joseph Ronald Gross, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794
Brittany Poist Kizzire, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794

Diedra Olin, PT - Medicare Physical Therapist in Woodstock, GA