Dr Mario Donnell Anderson, PT in Fairburn, GA - Medicare Physical Therapist Provider

Dr Mario Donnell Anderson, PT is a medicare enrolled "Physical Therapist" provider in Fairburn, Georgia. His current practice location is 5370 Campbellton Fairburn Rd, Suite 530, Fairburn, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 666-4146.

Dr Mario Donnell Anderson is licensed to practice in Georgia (license number PT010030) 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 1073829826.

Contact Information

	Dr Mario Donnell Anderson, PT
	5370 Campbellton Fairburn Rd, Suite 530, Fairburn, GA 30213-2296
	(678) 666-4146
	(678) 666-4148

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mario Donnell Anderson
Gender	Male
Speciality	Physical Therapist
Location	5370 Campbellton Fairburn Rd, Fairburn, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073829826
Provider Enumeration Date: 08/30/2010
Last Update Date: 03/21/2013

Medicare PECOS Information:

PECOS PAC ID: 8123265337
Enrollment ID: I20221123000415

Medical Identifiers

Medical identifiers for Dr Mario Donnell Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073829826	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT010030 (Georgia)	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 Mario Donnell Anderson allows following entities to bill medicare on his behalf.

Provider Name	Therapaedic Physical Therapy
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316337637 PECOS PAC ID: 7315321080 Enrollment ID: O20221116001009

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 Mario Donnell Anderson 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 Mario Donnell Anderson, PT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217	Dr Mario Donnell Anderson, PT 5370 Campbellton Fairburn Rd, Suite 530, Fairburn, GA 30213-2296 Ph: (678) 666-4146

Reviews and Comments

Physical Therapist in Fairburn, GA

Blaylock Rehabilitation, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 7248 Parkland Bnd, Fairburn, GA 30213 Phone: 470-241-4010
Lorielle Sherie Carter, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5370 Campbellton Fairburn Rd Ste 530, Fairburn, GA 30213 Phone: 678-666-4146 Fax: 678-666-4148
Michael Dennison, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5370 Campbellton Fairburn Rd, Fairburn, GA 30213 Phone: 678-666-4146
John Michael Funnell, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5370 Campbellton Fairburn Rd Ste 530, Fairburn, GA 30213 Phone: 678-666-4146 Fax: 678-666-4148
Mrs. Apollone Simone Reid, P.T., MPH Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 718 Small Elk Ct, Fairburn, GA 30213 Phone: 404-518-8206 Fax: 404-292-4452
Mylah Delaine Garlington, PT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5370 Campbellton Fairburn Rd Ste 530, Fairburn, GA 30213 Phone: 678-666-4146 Fax: 678-666-4148

Dr Mario Donnell Anderson, PT - Medicare Physical Therapist in Fairburn, GA