Henry Iraheta, in Roswell, GA - Medicare Physical Therapist Provider

Henry Iraheta, is a medicare enrolled "Physical Therapist" provider in Roswell, Georgia. His current practice location is 12050 Etris Rd Ste E150, Roswell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 801-4657.

Henry Iraheta is licensed to practice in Georgia (license number PT016262) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114649258.

Contact Information

	Henry Iraheta,
	12050 Etris Rd Ste E150, Roswell, GA 30075-8022
	(770) 801-4657
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Henry Iraheta
Gender	Male
Speciality	Physical Therapist
Location	12050 Etris Rd Ste E150, Roswell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114649258
Provider Enumeration Date: 09/15/2022
Last Update Date: 09/15/2022

Medicare PECOS Information:

PECOS PAC ID: 3779938584
Enrollment ID: I20231015000017

Medical Identifiers

Medical identifiers for Henry Iraheta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114649258	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT016262 (Georgia)	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. Henry Iraheta allows following entities to bill medicare on his behalf.

Provider Name	Premier Rehab Management Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821014390 PECOS PAC ID: 1951586890 Enrollment ID: O20120418000648

Provider Name	Pt Solutions Of Pensacola, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730439092 PECOS PAC ID: 7517102973 Enrollment ID: O20130408000171

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. Henry Iraheta 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
Henry Iraheta, 121 Charles St, Rockville, MD 20850-1510 Ph: () -	Henry Iraheta, 12050 Etris Rd Ste E150, Roswell, GA 30075-8022 Ph: (770) 801-4657

Reviews and Comments

Physical Therapist in Roswell, GA

Mr. Nicholas B Swanner, MPT, GCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Applewood Dr, Brookdale Therapy, Roswell, GA 30076 Phone: 404-971-8544 Fax: 414-918-6046
Mrs. Dawnella Grace Harrison, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3455 Johnson Ferry Rd Ne, Roswell, GA 30075 Phone: 770-998-6636
Kathryn Hodges Rose, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11490 Alpharetta Hwy Ste 200, Roswell, GA 30076 Phone: 770-740-8592 Fax: 770-752-9478
Jasmine Elizabeth Ramans, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10800 Alpharetta Hwy Ste 176, Roswell, GA 30076 Phone: 678-681-1060 Fax: 678-681-9049
Suzanne Sacks, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24 E Crossville Rd, Roswell, GA 30075 Phone: 678-822-0721
Ellen Pye, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1570 Holcomb Bridge Rd Ste 205, Roswell, GA 30076 Phone: 678-619-0003 Fax: 678-619-0004
Jann Allyn Jennelle, PT, LMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 Russell Rd, Roswell, GA 30075 Phone: 678-431-7096 Fax: 678-348-7334

Henry Iraheta, - Medicare Physical Therapist in Roswell, GA