Haley Rebecca Paulk, PT, DPT in Crestview, FL - Medicare Physical Therapist Provider

Haley Rebecca Paulk, PT, DPT is a medicare enrolled "Physical Therapist" provider in Crestview, Florida. Her current practice location is 5300 S Ferdon Blvd, Crestview, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 863-2153.

Haley Rebecca Paulk is licensed to practice in Florida (license number PT40561) 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 1801626452.

Contact Information

	Haley Rebecca Paulk, PT, DPT
	5300 S Ferdon Blvd, Crestview, FL 32536-5235
	(850) 863-2153
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Haley Rebecca Paulk
Gender	Female
Speciality	Physical Therapist
Location	5300 S Ferdon Blvd, Crestview, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801626452
Provider Enumeration Date: 08/07/2024
Last Update Date: 08/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0244765980
Enrollment ID: I20241119001018

Medical Identifiers

Medical identifiers for Haley Rebecca Paulk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801626452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT40561 (Florida)	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. Haley Rebecca Paulk allows following entities to bill medicare on her behalf.

Provider Name	Axis Physiotherapy Institute, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1790328045 PECOS PAC ID: 2860825353 Enrollment ID: O20191216000594

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. Haley Rebecca Paulk 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
Haley Rebecca Paulk, PT, DPT 91 Sharon Ct, Defuniak Springs, FL 32433-3523 Ph: (850) 333-6784	Haley Rebecca Paulk, PT, DPT 5300 S Ferdon Blvd, Crestview, FL 32536-5235 Ph: (850) 863-2153

Reviews and Comments

Physical Therapist in Crestview, FL

Caitlin Deems, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4100 S Ferdon Blvd Ste A1, Crestview, FL 32536 Phone: 850-682-8388
Physical Therapist Medicare: Medicare Enrolled Practice Location: 728 N Ferdon Blvd, Ste #3, Crestview, FL 32536 Phone: 850-682-7772 Fax: 888-308-1539
Mrs. Amy Southerland Anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4432 Goldfinch Way, Crestview, FL 32539 Phone: 850-603-0317
Healinic Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3154 Vaccari Ct, Crestview, FL 32539 Phone: 740-227-0709
Mrs. Jennifer Renee Moser, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4100 S Ferdon Blvd Ste A1, Crestview, FL 32536 Phone: 850-682-8388
Karen Viehman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Hospital Dr, Crestview, FL 32539 Phone: 850-689-3146 Fax: 850-398-6428
Scott Gates, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 184 E Redstone Ave Ste A, Crestview, FL 32539 Phone: 850-689-3127

Haley Rebecca Paulk, PT, DPT - Medicare Physical Therapist in Crestview, FL