Kirby Broome, PT, DPT in Goose Creek, SC - Medicare Physical Therapist Provider

Kirby Broome, PT, DPT is a medicare enrolled "Physical Therapist" provider in Goose Creek, South Carolina. His current practice location is 104 Mallory Dr, Goose Creek, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 275-0740.

Kirby Broome is licensed to practice in South Carolina (license number 9667) 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 1558928523.

Contact Information

	Kirby Broome, PT, DPT
	104 Mallory Dr, Goose Creek, SC 29445-6406
	(864) 275-0740
	(843) 808-6986

Map and Direction

Healthcare Provider's Profile

Full Name	Kirby Broome
Gender	Male
Speciality	Physical Therapist
Location	104 Mallory Dr, Goose Creek, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558928523
Provider Enumeration Date: 05/23/2019
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 9638408651
Enrollment ID: I20190916003545

Medical Identifiers

Medical identifiers for Kirby Broome such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558928523	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	9667 (South Carolina)	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. Kirby Broome allows following entities to bill medicare on his behalf.

Provider Name	Centrum Therapy Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396455515 PECOS PAC ID: 1557733268 Enrollment ID: O20230206002912

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. Kirby Broome 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
Kirby Broome, PT, DPT Po Box 1119, Goose Creek, SC 29445-1119 Ph: (864) 275-0740	Kirby Broome, PT, DPT 104 Mallory Dr, Goose Creek, SC 29445-6406 Ph: (864) 275-0740

Reviews and Comments

Physical Therapist in Goose Creek, SC

Nathaniel Kevin Prater, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 Mallory Dr, Goose Creek, SC 29445 Phone: 864-993-6304 Fax: 843-808-6986
Emily Sage Carrell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 209 Saint James Ave, Goose Creek, SC 29445 Phone: 843-793-4466
Tori Lynn Darling, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Naval Nuclear Training Command Circle, Goose Creek, SC 29445 Phone: 843-794-6400 Fax: 438-794-6997
Jeffrey Thomas Noelcke, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 Saint James Ave, Goose Creek, SC 29445 Phone: 843-793-4466
Joseph Styron, Physical Therapist Medicare: Medicare Enrolled Practice Location: 514 Saint James Ave Unit G, Goose Creek, SC 29445 Phone: 843-642-8660
Dr. Caleb S Nobles, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Nnptc Cir, Goose Creek, SC 29445 Phone: 843-818-2944 Fax: 843-579-2738
Jessica A Lyons, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 215 Blossom St, Goose Creek, SC 29445 Phone: 843-469-1400

Kirby Broome, PT, DPT - Medicare Physical Therapist in Goose Creek, SC