Hailey Jordan Roberson, in St Petersburg, FL - Medicare Physical Therapist Provider

Hailey Jordan Roberson, is a medicare enrolled "Physical Therapist" provider in St Petersburg, Florida. Her current practice location is 4020 Park St N Ste 101, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 388-4688.

Hailey Jordan Roberson is licensed to practice in * (Not Available) (license number ) 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 1114607678.

Contact Information

	Hailey Jordan Roberson,
	4020 Park St N Ste 101, St Petersburg, FL 33709-4030
	(727) 388-4688
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Hailey Jordan Roberson
Gender	Female
Speciality	Physical Therapist
Location	4020 Park St N Ste 101, St Petersburg, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114607678
Provider Enumeration Date: 07/20/2023
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 0547623381
Enrollment ID: I20230828002251

Medical Identifiers

Medical identifiers for Hailey Jordan Roberson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114607678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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. Hailey Jordan Roberson allows following entities to bill medicare on her behalf.

Provider Name	Dkb Health Llc Fyzical Therapy And Balance Center
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1023736550 PECOS PAC ID: 6709259351 Enrollment ID: O20230301000421

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. Hailey Jordan Roberson 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
Hailey Jordan Roberson, 100 4th Ave S Apt 400, St Petersburg, FL 33701-4374 Ph: () -	Hailey Jordan Roberson, 4020 Park St N Ste 101, St Petersburg, FL 33709-4030 Ph: (727) 388-4688

Reviews and Comments

Physical Therapist in St Petersburg, FL

Purpose Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 6619 1st Ave S, St Petersburg, FL 33707 Phone: 417-315-5777
Mrs. Cynthia Ann Driver Saldanha, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 6th St S, St Petersburg, FL 33701 Phone: 727-767-8093 Fax: 727-767-4004
Alliance Sports Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 2nd Ave Ne Ste 1401, St Petersburg, FL 33701 Phone: 727-258-7224
Danielle Marie Wanek, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 1st Ave N Unit 4201, St Petersburg, FL 33701 Phone: 608-772-7727
Bao-quyen Nguyen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 260 1st Ave S Ste 200-161, St Petersburg, FL 33701 Phone: 727-803-1102
Kimberley D Carson, P.T., D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-6913 Fax: 727-767-6757
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 34th St S, St Petersburg, FL 33711 Phone: 800-444-6845 Fax: 479-478-2852

Hailey Jordan Roberson, - Medicare Physical Therapist in St Petersburg, FL