Gladys Carla Staten, in Houston, MS - Medicare Physical Therapist Provider

Gladys Carla Staten, is a medicare enrolled "Physical Therapist" provider in Houston, Mississippi. Her current practice location is 101 Kyle Dr Ste 2, Houston, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 794-2878.

Gladys Carla Staten is licensed to practice in Mississippi (license number PT1168) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497471635.

Contact Information

	Gladys Carla Staten,
	101 Kyle Dr Ste 2, Houston, MS 38851-2717
	(662) 794-2878
	(662) 456-1269

Map and Direction

Healthcare Provider's Profile

Full Name	Gladys Carla Staten
Gender	Female
Speciality	Physical Therapist
Location	101 Kyle Dr Ste 2, Houston, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497471635
Provider Enumeration Date: 10/19/2022
Last Update Date: 10/19/2022

Medicare PECOS Information:

PECOS PAC ID: 4587032214
Enrollment ID: I20221130000758

Medical Identifiers

Medical identifiers for Gladys Carla Staten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497471635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT1168 (Mississippi)	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. Gladys Carla Staten allows following entities to bill medicare on her behalf.

Provider Name	Houston Physical Therapy And Performance Center Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1801566195 PECOS PAC ID: 5597162297 Enrollment ID: O20210923000152

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. Gladys Carla Staten 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
Gladys Carla Staten, Po Box 148, Houston, MS 38851-0148 Ph: (662) 794-2878	Gladys Carla Staten, 101 Kyle Dr Ste 2, Houston, MS 38851-2717 Ph: (662) 794-2878

Reviews and Comments

Physical Therapist in Houston, MS

Mrs. Regina Lynn Grimes, PT, C/NDT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 County Road 441, Houston, MS 38851 Phone: 662-231-1187 Fax: 662-448-1189
Mr. Clarence Wilborn Tapley Iii, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1149 N Jackson St, Houston, MS 38851 Phone: 662-542-0491
Houston Physical Therapy And Performance Center Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Kyle Dr Ste 2, Houston, MS 38851 Phone: 662-542-0491

Gladys Carla Staten, - Medicare Physical Therapist in Houston, MS