Dr Larry Bennett Ii, DPT in Lithonia, GA - Medicare Physical Therapist Provider

Dr Larry Bennett Ii, DPT is a medicare enrolled "Physical Therapist" provider in Lithonia, Georgia. His current practice location is 6697 Villa Ct, Lithonia, Georgia. You can reach out to his office (for appointments etc.) via phone at (704) 293-0202.

Dr Larry Bennett Ii is licensed to practice in North Carolina (license number 13484) 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 1861817801.

Contact Information

	Dr Larry Bennett Ii, DPT
	6697 Villa Ct, Lithonia, GA 30038-2468
	(704) 293-0202
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Larry Bennett Ii
Gender	Male
Speciality	Physical Therapist
Location	6697 Villa Ct, Lithonia, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861817801
Provider Enumeration Date: 02/27/2014
Last Update Date: 01/17/2022

Medicare PECOS Information:

PECOS PAC ID: 4183008006
Enrollment ID: I20220826000430

Medical Identifiers

Medical identifiers for Dr Larry Bennett Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861817801	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT012203 (Georgia)	Secondary
225100000X	Physical Therapist	1254338 (Texas)	Secondary
225100000X	Physical Therapist	24972 (Maryland)	Secondary
225100000X	Physical Therapist	7282 (South Carolina)	Secondary
225100000X	Physical Therapist	P13484 (North Carolina)	Secondary
225100000X	Physical Therapist	13484 (North 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 Larry Bennett Ii allows following entities to bill medicare on his behalf.

Provider Name	Proactive Therapy Of North Carolina Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568468502 PECOS PAC ID: 6305753120 Enrollment ID: O20130207000475

Provider Name	Select Physical Therapy Holdings Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669432175 PECOS PAC ID: 9537076401 Enrollment ID: O20161201002068

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 Larry Bennett Ii 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 Larry Bennett Ii, DPT 3215 Windshire Ln Unit 210, Charlotte, NC 28273-4190 Ph: (704) 293-0202	Dr Larry Bennett Ii, DPT 6697 Villa Ct, Lithonia, GA 30038-2468 Ph: (704) 293-0202

Reviews and Comments

Physical Therapist in Lithonia, GA

Stephanie Marie Ravalese, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149
Jordan Alliah Davis, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149
Michelle Alade, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122
Ami Kirollos, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122
Shelby Kay Vandeberghe, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149
Khianna Anthony, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122
Corrine Celeste Bolles, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6000 Hillandale Dr Ste 145, Lithonia, GA 30058 Phone: 678-418-8072 Fax: 678-418-8072

Dr Larry Bennett Ii, DPT - Medicare Physical Therapist in Lithonia, GA