Ken J Gailes, PT is a medicare enrolled "Physical Therapist" provider in Hollandale, Mississippi. His current practice location is
117 East Ave S, Hollandale, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 624-0350.
Ken J Gailes is licensed to practice in Mississippi (license number PT3460) 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 1881986453.
Healthcare Provider's Profile
| Full Name | Ken J Gailes |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 117 East Ave S, Hollandale, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881986453
- Provider Enumeration Date: 05/13/2011
- Last Update Date: 03/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 7618149295
- Enrollment ID: I20111019000556
Medical Identifiers
Medical identifiers for Ken J Gailes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881986453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT3460 (Mississippi) | 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. Ken J Gailes allows following entities to bill medicare on his behalf.
| Provider Name | Therapy Services Unlimited Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1023304110
PECOS PAC ID: 2466624143
Enrollment ID: O20111003000462 |
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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. Ken J Gailes 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 |
|---|
Ken J Gailes, PT
1 W Campbell Ave, Apt 1119,
Phoenix, AZ 85013-2998
Ph: (601) 624-0350 | Ken J Gailes, PT
117 East Ave S,
Hollandale, MS 38748-3811
Ph: (601) 624-0350 |
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