Dr Gregory Stuart Syvertson, PT, DPT, CFT,CCI is a medicare enrolled "Physical Therapist" provider in Rainelle, West Virginia. His current practice location is
1 John Raine Dr, Rainelle, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 438-9225.
Dr Gregory Stuart Syvertson is licensed to practice in West Virginia (license number 0001489) 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 1104800655.
Healthcare Provider's Profile
| Full Name | Dr Gregory Stuart Syvertson |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 1 John Raine Dr, Rainelle, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104800655
- Provider Enumeration Date: 11/29/2005
- Last Update Date: 08/19/2010
Medicare PECOS Information:
- PECOS PAC ID: 9830009448
- Enrollment ID: I20230814000247
Medical Identifiers
Medical identifiers for Dr Gregory Stuart Syvertson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104800655 | NPI | - | NPPES |
| 5534228 | Other | WV | FIRST HEALTH |
| 612406500 | Other | WV | DOL FECA |
| 697891 | Other | WV | UNITED HEALTH CARE |
| 9420008-000 | Medicaid | WV | |
| 1064530 | Other | WV | BRICKSTREET WC |
| 7239017 | Other | WV | AETNA |
| 001714553 | Other | WV | MSBCBS INDIVIDUAL PIN |
| 87316 | Other | WV | UNICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 0001489 (West Virginia) | 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 Gregory Stuart Syvertson allows following entities to bill medicare on his behalf.
| Provider Name | Physiotherapy Associates Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1558936872
PECOS PAC ID: 3577470442
Enrollment ID: O20210924003004 |
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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. Dr Gregory Stuart Syvertson 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 Gregory Stuart Syvertson, PT, DPT, CFT,CCI
Po Box 767,
Daniels, WV 25832-0767
Ph: (304) 252-4170 | Dr Gregory Stuart Syvertson, PT, DPT, CFT,CCI
1 John Raine Dr,
Rainelle, WV 25962-1457
Ph: (304) 438-9225 |
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