Justin Frazier, in Southlake, TX - Medicare Physical Therapist Provider

Justin Frazier, is a medicare enrolled "Physical Therapist" provider in Southlake, Texas. His current practice location is 190 Sh-114 W, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 882-2433.

Justin Frazier is licensed to practice in Texas (license number 1321645) 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 1144865163.

Contact Information

	Justin Frazier,
	190 Sh-114 W, Southlake, TX 75609
	(210) 882-2433
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Justin Frazier
Gender	Male
Speciality	Physical Therapist
Location	190 Sh-114 W, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144865163
Provider Enumeration Date: 11/13/2019
Last Update Date: 06/21/2024

Medicare PECOS Information:

PECOS PAC ID: 1153790811
Enrollment ID: I20221220001162

Medical Identifiers

Medical identifiers for Justin Frazier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144865163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1321645 (Texas)	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. Justin Frazier allows following entities to bill medicare on his behalf.

Provider Name	Ideal Physical Therapy Of Texas Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890

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. Justin Frazier 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
Justin Frazier, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Justin Frazier, 190 Sh-114 W, Southlake, TX 75609 Ph: (210) 882-2433

Reviews and Comments

Physical Therapist in Southlake, TX

Erin Goebel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 817-416-0108
Mrs. Lisa Alice Redding, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1940 E State Highway 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637
Whitney Holmans, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 682-651-1909
Jennifer Merimonti, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Watermere Dr., Southlake, TX 76092 Phone: 817-431-8668
Kara Edgerton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2813 W Southlake Blvd, Suite 110, Southlake, TX 76092 Phone: 817-310-8780 Fax: 817-310-8781
Raphael Augustus Sadiwa, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 State St Ste 225, Southlake, TX 76092 Phone: 866-839-6979
Theresa J Adame-brooks, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1545 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 817-416-0108

Justin Frazier, - Medicare Physical Therapist in Southlake, TX