Dr Brandon Lee Mack, DPT in Kirksville, MO - Medicare Physical Therapy Provider

Dr Brandon Lee Mack, DPT is a medicare enrolled "Physical Therapist" provider in Kirksville, Missouri. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Elite Rehab And Sports Medicine Llc and his current practice location is Junction S. Hwy 63 & 6e, Outpatient Physical Therapy, Kirksville, Missouri. You can reach out to his office (for appointments etc.) via phone at (660) 785-1834.

Dr Brandon Lee Mack is licensed to practice in Missouri (license number 2004021474) 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 1134188832.

Contact Information

	Dr Brandon Lee Mack, DPT
	Junction S. Hwy 63 & 6e, Outpatient Physical Therapy, Kirksville, MO 63501
	(660) 785-1834
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brandon Lee Mack
Gender	Male
Speciality	Physical Therapy
Experience	20 Years
Location	Junction S. Hwy 63 & 6e, Kirksville, Missouri
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:

Dr Brandon Lee Mack graduated from medical school in 2004

NPI Data:

NPI Number: 1134188832
Provider Enumeration Date: 03/21/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 8123170016
Enrollment ID: I20090724000179

Medical Identifiers

Medical identifiers for Dr Brandon Lee Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134188832	NPI	-	NPPES
858341605	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2004021474 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Elite Rehab And Sports Medicine Llc	9234541657	2

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. Dr Brandon Lee Mack allows following entities to bill medicare on his behalf.

Provider Name	Elite Rehab And Sports Medicine Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1710505623 PECOS PAC ID: 9234541657 Enrollment ID: O20201209000646

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. Dr Brandon Lee Mack 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
Dr Brandon Lee Mack, DPT 29559 Katydid, La Plata, MO 63549-1136 Ph: (660) 332-4960	Dr Brandon Lee Mack, DPT Junction S. Hwy 63 & 6e, Outpatient Physical Therapy, Kirksville, MO 63501 Ph: (660) 785-1834

Reviews and Comments

Physical Therapist in Kirksville, MO

Michelle Gronemeyer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 316 S Osteopathy Ave, Kirksville, MO 63501 Phone: 660-665-2887
Benjamin J. Seedorf, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2814 S Baltimore St, Kirksville, MO 63501 Phone: 660-785-1834 Fax: 660-785-1825
Brittany Eagen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2814 S Baltimore St, Kirksville, MO 63501 Phone: 660-785-1834 Fax: 660-785-1825
Angela K. Reinsch, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2814 S Baltimore St, Kirksville, MO 63501 Phone: 660-785-1834 Fax: 660-785-1825
Mrs. Jennifer L Blanke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2814 S Baltimore St, Kirksville, MO 63501 Phone: 660-785-1834
Kaitlin Louise Stump, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1108 E Patterson St Ste 6, Kirksville, MO 63501 Phone: 660-665-5333

Dr Brandon Lee Mack, DPT - Medicare Physical Therapist in Kirksville, MO