Dr Breland Green, PT, DPT - Medicare Physical Therapist in Summerville, SC

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Dr Breland Green, PT, DPT is a medicare enrolled "Physical Therapist" provider in Summerville, South Carolina. Her current practice location is 634 Bacons Bridge Rd, Summerville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 821-2272.

Dr Breland Green is licensed to practice in South Carolina (license number 11995) 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 1457034811.

Contact Information

Dr Breland Green, PT, DPT
634 Bacons Bridge Rd,
Summerville, SC 29485-4102
(843) 821-2272
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Breland Green
GenderFemale
SpecialityPhysical Therapist
Location634 Bacons Bridge Rd, Summerville, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457034811
  • Provider Enumeration Date: 08/10/2023
  • Last Update Date: 08/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264972355
  • Enrollment ID: I20240904000379

Medical Identifiers

Medical identifiers for Dr Breland Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457034811NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 11995 (South Carolina)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. Dr Breland Green allows following entities to bill medicare on her behalf.
Provider NameImagine Physical Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1245241041
PECOS PAC ID: 6406860311
Enrollment ID: O20060131000246
Provider NameImagine Physical Therapy On Daniel Island Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1972770733
PECOS PAC ID: 9133294077
Enrollment ID: O20080812000702
Provider NameImagine Physical Therapy In West Ashley Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1588977862
PECOS PAC ID: 6800072562
Enrollment ID: O20110512000800
Provider NameImagine Physical Therapy North Rhett Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1033518766
PECOS PAC ID: 4082939723
Enrollment ID: O20150220001591
Provider NameImagine Physical Therapy Old Village Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1477937662
PECOS PAC ID: 4587972450
Enrollment ID: O20150928000781

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 Breland Green 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 AddressPractice Location Address
Dr Breland Green, PT, DPT
224 Eagle View Dr,
Charleston, SC 29414-5762

Ph: (803) 413-5921		Dr Breland Green, PT, DPT
634 Bacons Bridge Rd,
Summerville, SC 29485-4102

Ph: (843) 821-2272

Reviews and Comments


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Phone: 208-613-7361    Fax: 843-892-8444

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.