Dr Lewis Edward Gore Iii, PT, DPT is a medicare enrolled "Physical Therapist" provider in Fairfax, South Carolina. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Physical Therapy. His current practice location is
1787 Allendale Fairfax Hwy, Fairfax, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 632-3421.
Dr Lewis Edward Gore Iii is licensed to practice in South Carolina (license number 7872) 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 1811473390.
Healthcare Provider's Profile
| Full Name | Dr Lewis Edward Gore Iii |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 9 Years |
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| Location | 1787 Allendale Fairfax Hwy, Fairfax, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lewis Edward Gore Iii graduated from medical school in 2015
NPI Data:
- NPI Number: 1811473390
- Provider Enumeration Date: 07/17/2018
- Last Update Date: 07/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 0648670752
- Enrollment ID: I20220111002515
Medical Identifiers
Medical identifiers for Dr Lewis Edward Gore Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811473390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 7872 (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 Lewis Edward Gore Iii allows following entities to bill medicare on his behalf.
| Provider Name | Tidal Creek Physical Therapy Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1598358954
PECOS PAC ID: 4587073671
Enrollment ID: O20220110000754 |
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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 Lewis Edward Gore Iii 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 |
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Dr Lewis Edward Gore Iii, PT, DPT
406 S Main St,
Sylvania, GA 30467-2226
Ph: (843) 446-2461 | Dr Lewis Edward Gore Iii, PT, DPT
1787 Allendale Fairfax Hwy,
Fairfax, SC 29827-9133
Ph: (803) 632-3421 |
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