Mary Alice Ezzell, PT in Greenville, SC - Medicare Physical Therapist Provider

Mary Alice Ezzell, PT is a medicare enrolled "Physical Therapist" provider in Greenville, South Carolina. Her current practice location is 1025 Verdae Blvd, Ste E, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 286-7480.

Mary Alice Ezzell is licensed to practice in South Carolina (license number 3570) 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 1144542853.

Contact Information

	Mary Alice Ezzell, PT
	1025 Verdae Blvd, Ste E, Greenville, SC 29607-4032
	(864) 286-7480
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Alice Ezzell
Gender	Female
Speciality	Physical Therapist
Location	1025 Verdae Blvd, Greenville, 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: 1144542853
Provider Enumeration Date: 02/22/2010
Last Update Date: 11/06/2015

Medicare PECOS Information:

PECOS PAC ID: 4082745039
Enrollment ID: I20100708000467

Medical Identifiers

Medical identifiers for Mary Alice Ezzell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144542853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3570 (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. Mary Alice Ezzell allows following entities to bill medicare on her behalf.

Provider Name	Greenville Proaxis Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769

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. Mary Alice Ezzell 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
Mary Alice Ezzell, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223	Mary Alice Ezzell, PT 1025 Verdae Blvd, Ste E, Greenville, SC 29607-4032 Ph: (864) 286-7480

Reviews and Comments

Physical Therapist in Greenville, SC

Caitlyn Esther Soltes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1344 Fax: 864-331-1446
Stephen Craig Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Doctors Dr, Greenville, SC 29605 Phone: 864-797-7320
Charlotte Bocchino, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Patewood Dr, Ste C150, Greenville, SC 29615 Phone: 864-454-0904
Madalyn Patricia Cregg, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste C150, Greenville, SC 29615 Phone: 864-454-0904
Emily Mae Harrison, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1322 E Washington St Ste B1, Greenville, SC 29607 Phone: 642-729-4081
Katerine Maria Gonzalez Gonzalez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1904 Roper Mountain Rd, Greenville, SC 29615 Phone: 864-609-4006
Sara Elizabeth Martin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 N Main St, Ste 99, Greenville, SC 29601 Phone: 864-528-5728

Mary Alice Ezzell, PT - Medicare Physical Therapist in Greenville, SC