Lakota Crystal Hillis, PT is a medicare enrolled "Physical Therapist" provider in Bartow, Florida. Her current practice location is
2055 E Georgia St, Bartow, Florida. You can reach out to her office (for appointments etc.) via phone at
(863) 533-0578.
Lakota Crystal Hillis is licensed to practice in Florida (license number PT32535) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235404898.
Healthcare Provider's Profile
Full Name | Lakota Crystal Hillis |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 2055 E Georgia St, Bartow, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235404898
- Provider Enumeration Date: 03/15/2012
- Last Update Date: 03/31/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931361623
- Enrollment ID: I20230302002632
Medical Identifiers
Medical identifiers for Lakota Crystal Hillis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235404898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 8886 (Tennessee) | Secondary |
225100000X | Physical Therapist | PT32535 (Florida) | 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. Lakota Crystal Hillis allows following entities to bill medicare on her behalf.
Provider Name | Empowerme Rehabilitation Florida, 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: 1184257602 PECOS PAC ID: 3274962790 Enrollment ID: O20200406000039 |
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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. Lakota Crystal Hillis 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 |
Lakota Crystal Hillis, PT 2055 E Georgia St, Bartow, FL 33830-6710 Ph: (863) 533-0578 | Lakota Crystal Hillis, PT 2055 E Georgia St, Bartow, FL 33830-6710 Ph: (863) 533-0578 |
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