Dr Brandon Edward Derouchie, DPT in Port Charlotte, FL - Medicare Physical Therapist Provider

Dr Brandon Edward Derouchie, DPT is a medicare enrolled "Physical Therapist" provider in Port Charlotte, Florida. His current practice location is 17751 Murdock Cir, Port Charlotte, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 743-8700.

Dr Brandon Edward Derouchie is licensed to practice in North Carolina (license number P23351) 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 1336869742.

Contact Information

	Dr Brandon Edward Derouchie, DPT
	17751 Murdock Cir, Port Charlotte, FL 33948-1034
	(941) 743-8700
	(941) 743-8850

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brandon Edward Derouchie
Gender	Male
Speciality	Physical Therapist
Location	17751 Murdock Cir, Port Charlotte, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336869742
Provider Enumeration Date: 08/29/2022
Last Update Date: 08/05/2024

Medicare PECOS Information:

PECOS PAC ID: 1951787761
Enrollment ID: I20221003000419

Medical Identifiers

Medical identifiers for Dr Brandon Edward Derouchie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336869742	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT41183 (Florida)	Secondary
225100000X	Physical Therapist	049257-01 (New York)	Secondary
225100000X	Physical Therapist	P23351 (North 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. Dr Brandon Edward Derouchie allows following entities to bill medicare on his behalf.

Provider Name	Mary Lou Corcoran Pt Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699780338 PECOS PAC ID: 2668386145 Enrollment ID: O20031118000810

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. Dr Brandon Edward Derouchie 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
Dr Brandon Edward Derouchie, DPT 25241 Elementary Way Ste 200, Bonita Springs, FL 34135-7883 Ph: (239) 947-4184	Dr Brandon Edward Derouchie, DPT 17751 Murdock Cir, Port Charlotte, FL 33948-1034 Ph: (941) 743-8700

Reviews and Comments

Physical Therapist in Port Charlotte, FL

Kristen Honeycutt Downey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3036 Tamiami Trl, Port Charlotte, FL 33952 Phone: 941-627-1650 Fax: 941-627-1507
Philip Lagamma, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1649 Tamiami Trl Ste 1a, Port Charlotte, FL 33948 Phone: 941-743-6700
Carmelle Chua Sy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1032 Vega Ave Nw, Port Charlotte, FL 33948 Phone: 941-585-9114
Kenneth Go Cariaso, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4166 Tamiami Trl, Suite A, Port Charlotte, FL 33952 Phone: 941-766-1110 Fax: 941-766-1190
Mr. Lawrence Carlino, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4147
Progressive Physical Therapy Service Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17751 Murdock Cir, Port Charlotte, FL 33948 Phone: 941-743-8700 Fax: 941-743-8850
Omar Alberto Garcia, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17751 Murdock Cir, Port Charlotte, FL 33948 Phone: 941-743-8700 Fax: 941-743-8850

Dr Brandon Edward Derouchie, DPT - Medicare Physical Therapist in Port Charlotte, FL