Grace Dougherty Mussetter, DPT in Louisville, KY - Medicare Physical Therapist Provider

Grace Dougherty Mussetter, DPT is a medicare enrolled "Physical Therapist" provider in Louisville, Kentucky. Her current practice location is 530 Fairfield Dr, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 415-0446.

Grace Dougherty Mussetter is licensed to practice in Kentucky (license number 008574) 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 1114649043.

Contact Information

	Grace Dougherty Mussetter, DPT
	530 Fairfield Dr, Louisville, KY 40206-2932
	(502) 415-0446
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Grace Dougherty Mussetter
Gender	Female
Speciality	Physical Therapist
Location	530 Fairfield Dr, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114649043
Provider Enumeration Date: 09/16/2022
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 4082080890
Enrollment ID: I20221019002691

Medical Identifiers

Medical identifiers for Grace Dougherty Mussetter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114649043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	008574 (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. Grace Dougherty Mussetter allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1568000727 PECOS PAC ID: 2163339722 Enrollment ID: O20200318001363

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. Grace Dougherty Mussetter 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
Grace Dougherty Mussetter, DPT 530 Fairfield Dr, Louisville, KY 40206-2932 Ph: (502) 415-0446	Grace Dougherty Mussetter, DPT 530 Fairfield Dr, Louisville, KY 40206-2932 Ph: (502) 415-0446

Reviews and Comments

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Grace Dougherty Mussetter, DPT - Medicare Physical Therapist in Louisville, KY