Dylan Dagenback, PT, DPT in Dunwoody, GA - Medicare Physical Therapist Provider

Dylan Dagenback, PT, DPT is a medicare enrolled "Physical Therapist" provider in Dunwoody, Georgia. His current practice location is 5500 Chamblee Dunwoody Rd Ste 5b, Dunwoody, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 396-3003.

Dylan Dagenback is licensed to practice in * (Not Available) (license number ) 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 1922786714.

Contact Information

	Dylan Dagenback, PT, DPT
	5500 Chamblee Dunwoody Rd Ste 5b, Dunwoody, GA 30338-4162
	(770) 396-3003
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dylan Dagenback
Gender	Male
Speciality	Physical Therapist
Location	5500 Chamblee Dunwoody Rd Ste 5b, Dunwoody, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922786714
Provider Enumeration Date: 07/11/2023
Last Update Date: 02/29/2024

Medicare PECOS Information:

PECOS PAC ID: 5991159964
Enrollment ID: I20230925001616

Medical Identifiers

Medical identifiers for Dylan Dagenback such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922786714	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT020540 (Ohio)	Secondary
225100000X	Physical Therapist	(* (Not Available))	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. Dylan Dagenback allows following entities to bill medicare on his behalf.

Provider Name	Foothills Sports Medicine & Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558318170 PECOS PAC ID: 2668457979 Enrollment ID: O20040621001886

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. Dylan Dagenback 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
Dylan Dagenback, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283	Dylan Dagenback, PT, DPT 5500 Chamblee Dunwoody Rd Ste 5b, Dunwoody, GA 30338-4162 Ph: (770) 396-3003

Reviews and Comments

Physical Therapist in Dunwoody, GA

Julie Schenck, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5513 Chamblee Dunwoody Rd Ste 430, Dunwoody, GA 30338 Phone: 770-551-9633
Kelly Kratochvil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5513 Chamblee Dunwoody Rd, Suite 430, Dunwoody, GA 30338 Phone: 770-551-9633
Joseph Willey, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5500 Chamblee Dunwoody Rd Ste 5e, Dunwoody, GA 30338 Phone: 770-396-3003 Fax: 770-396-3868
Sunshine Pediatric Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2347 Brookhurst Dr, Dunwoody, GA 30338 Phone: 706-540-3952 Fax: 404-596-5433
Bjt And Associates Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5342 Tilly Mill Rd, Dunwoody, GA 30338 Phone: 770-395-2643 Fax: 770-393-4374
Dr. Ashley Brunner, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5513 Chamblee Dunwoody Rd, Dunwoody, GA 30338 Phone: 770-923-4815
Dr. Brian Thomas Denmark, P.T., D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5513 Chamblee Dunwoody Rd, #430, Dunwoody, GA 30338 Phone: 770-551-9633

Dylan Dagenback, PT, DPT - Medicare Physical Therapist in Dunwoody, GA