Ethan Blake Gambrel, PT, DPT in Middlesboro, KY - Medicare Physical Therapist Provider

Ethan Blake Gambrel, PT, DPT is a medicare enrolled "Physical Therapist" provider in Middlesboro, Kentucky. His current practice location is 1510 Cumberland Ave, Middlesboro, Kentucky. You can reach out to his office (for appointments etc.) via phone at (618) 534-6713.

Ethan Blake Gambrel is licensed to practice in Kentucky (license number 008856) 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 1093497836.

Contact Information

	Ethan Blake Gambrel, PT, DPT
	1510 Cumberland Ave, Middlesboro, KY 40965-1223
	(618) 534-6713
	(606) 302-5418

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan Blake Gambrel
Gender	Male
Speciality	Physical Therapist
Location	1510 Cumberland Ave, Middlesboro, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093497836
Provider Enumeration Date: 08/02/2023
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 9638533615
Enrollment ID: I20230908001902

Medical Identifiers

Medical identifiers for Ethan Blake Gambrel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093497836	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	008856 (Kentucky)	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. Ethan Blake Gambrel allows following entities to bill medicare on his behalf.

Provider Name	Elevation Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1932714888 PECOS PAC ID: 2062832629 Enrollment ID: O20210415000898

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. Ethan Blake Gambrel 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
Ethan Blake Gambrel, PT, DPT 1510 Cumberland Ave, Middlesboro, KY 40965-1223 Ph: (618) 534-6713	Ethan Blake Gambrel, PT, DPT 1510 Cumberland Ave, Middlesboro, KY 40965-1223 Ph: (618) 534-6713

Reviews and Comments

Physical Therapist in Middlesboro, KY

Dr. Haley Pauline Berman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-242-1100
Audra Anissa Hall, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Turner Lane, Middlesboro, KY 40965 Phone: 606-248-0925
Kierstyn Arnold, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1510 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-302-5474 Fax: 606-302-5418
Lauren Kristine Wilson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-242-1420 Fax: 606-242-1421
Mr. James T Corum Jr., PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1847 N 25th St, Middlesboro, KY 40965 Phone: 606-248-1996 Fax: 606-248-1901
Elevation Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1510 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-269-5043 Fax: 606-302-5418

Ethan Blake Gambrel, PT, DPT - Medicare Physical Therapist in Middlesboro, KY