Evan Blackburn, PT in Suwanee, GA - Medicare Physical Therapy Provider

Evan Blackburn, PT is a medicare enrolled "Physical Therapist" provider in Suwanee, Georgia. He went to Cleveland University Of Medicine And Surgery - Nlg and graduated in 1990 and has 34 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Advance Rehabilitation And Consulting Limited Partnership and his current practice location is 1180 Satellite Blvd Nw, Suite 100, Suwanee, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 367-2080.

Evan Blackburn is licensed to practice in Georgia (license number PT005107) 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 1154437754.

Contact Information

	Evan Blackburn, PT
	1180 Satellite Blvd Nw, Suite 100, Suwanee, GA 30024-4636
	(404) 367-2080
	(770) 495-3493

Map and Direction

Healthcare Provider's Profile

Full Name	Evan Blackburn
Gender	Male
Speciality	Physical Therapy
Experience	34 Years
Location	1180 Satellite Blvd Nw, Suwanee, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Evan Blackburn attended and graduated from Cleveland University Of Medicine And Surgery - Nlg in 1990

NPI Data:

NPI Number: 1154437754
Provider Enumeration Date: 08/23/2006
Last Update Date: 11/22/2013

Medicare PECOS Information:

PECOS PAC ID: 3779565163
Enrollment ID: I20080116000457

Medical Identifiers

Medical identifiers for Evan Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154437754	NPI	-	NPPES
005107	Other	GA	LICENSE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Secondary
225100000X	Physical Therapist	PT005107 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advance Rehabilitation And Consulting Limited Partnership	4082890645	22

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. Evan Blackburn allows following entities to bill medicare on his behalf.

Provider Name	Advance Rehabilitation & Consulting Limited Partnership
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235434283 PECOS PAC ID: 4082890645 Enrollment ID: O20110609000322

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. Evan Blackburn 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
Evan Blackburn, PT 1180 Satellite Blvd Nw, Suite 100, Suwanee, GA 30024-4636 Ph: (404) 367-2080	Evan Blackburn, PT 1180 Satellite Blvd Nw, Suite 100, Suwanee, GA 30024-4636 Ph: (404) 367-2080

Reviews and Comments

Physical Therapist in Suwanee, GA

Mrs. Clarice M Ezeanya, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 302 Satellite Blvd Ne Ste 111, Suwanee, GA 30024 Phone: 862-202-6596
Maria E. Doolen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7350 Mcginnis Ferry Rd, Suite 200, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082
Rehab Of Suwanee Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Peachtree Industrial Blvd, Suite #290, Suwanee, GA 30024 Phone: 770-850-0857
Avaniben Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4060 Johns Creek Pkwy Ste H, Suwanee, GA 30024 Phone: 770-622-5344 Fax: 770-622-5388
David A Linbo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2576 Lawrenceville Suwanee Rd Bldg 1, Suwanee, GA 30024 Phone: 770-962-4043
Benchmark Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3630 Peachtree Pkwy Ste 310, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082
Atlanta Falcons Physical Therapy Centers Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1180 Satellite Blvd Nw, Suite 100, Suwanee, GA 30024 Phone: 404-367-2080 Fax: 770-495-3493

Evan Blackburn, PT - Medicare Physical Therapist in Suwanee, GA