Lake Fork Physical Therapy, Pllc - Medicare Physical Therapist in Emory, TX

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Lake Fork Physical Therapy, Pllc is a medicare enrolled "Physical Therapist" provider in Emory, Texas. Their current practice location is 903 East Lennon Street, Suite 101, Emory, Texas. You can reach out to their office (for appointments etc.) via phone at (903) 474-9436.

Lake Fork Physical Therapy, Pllc is licensed to practice in Texas (license number 1124006) and it also participates in the medicare program. Lake Fork Physical Therapy, Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1154540540.

Contact Information

Lake Fork Physical Therapy, Pllc
903 East Lennon Street, Suite 101,
Emory, TX 75440
(903) 474-9436
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLake Fork Physical Therapy, Pllc
TypeFacility
SpecialityPhysical Therapist
Location903 East Lennon Street, Emory, Texas
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154540540
  • Provider Enumeration Date: 04/24/2007
  • Last Update Date: 07/08/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6406952217
  • Enrollment ID: O20070510000267

Medical Identifiers

Medical identifiers for Lake Fork Physical Therapy, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154540540NPI-NPPES
00X464OtherTXMEDICARE GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1124006 (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. Lake Fork Physical Therapy, Pllc acts as a billing entity for following providers:
Provider NamePaul B Bacon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932285970
PECOS PAC ID: 7214033026
Enrollment ID: I20070510000277

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. Lake Fork Physical Therapy, Pllc 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 AddressPractice Location Address
Lake Fork Physical Therapy, Pllc
903 East Lennon Street, Suite 101,
Emory, TX 75440

Ph: (903) 474-9436		Lake Fork Physical Therapy, Pllc
903 East Lennon Street, Suite 101,
Emory, TX 75440

Ph: (903) 474-9436

Reviews and Comments


Physical Therapist in Emory, TX

Mr. Paul Bacon, PHYSICAL THERAPIST
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 903 East Lennon Street, Suite 101, Emory, TX 75440
Phone: 903-474-9436    Fax: 903-473-3170

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.