Mr Bryan Federico, DOCTOR OF PHYSICAL T in Johnson City, TN

Mr Bryan Federico, DOCTOR OF PHYSICAL T is a medicare enrolled "Physical Therapist" provider in Johnson City, Tennessee. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Watauga Orthopaedics Plc and his current practice location is 2410 Susannah St, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 282-9011.

Mr Bryan Federico is licensed to practice in Louisiana (license number 05146R) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689741639.

Contact Information

	Mr Bryan Federico, DOCTOR OF PHYSICAL T
	2410 Susannah St, Johnson City, TN 37601-1748
	(423) 282-9011
	(423) 328-2003

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Bryan Federico
Gender	Male
Speciality	Physical Therapy
Experience	23 Years
Location	2410 Susannah St, Johnson City, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Bryan Federico graduated from medical school in 2001

NPI Data:

NPI Number: 1689741639
Provider Enumeration Date: 11/28/2006
Last Update Date: 12/07/2021

Medicare PECOS Information:

PECOS PAC ID: 7214278365
Enrollment ID: I20190730004106

Medical Identifiers

Medical identifiers for Mr Bryan Federico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689741639	NPI	-	NPPES
05146R	Other	LA	PHYSICAL THERAPY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	8823 (North Carolina)	Secondary
225100000X	Physical Therapist	12513 (Tennessee)	Secondary
225100000X	Physical Therapist	05146R (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Watauga Orthopaedics Plc	1456246479	66

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. Mr Bryan Federico allows following entities to bill medicare on his behalf.

Provider Name	Watauga Orthopaedics Plc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245251404 PECOS PAC ID: 1456246479 Enrollment ID: O20040218000903

Provider Name	Independent Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104878354 PECOS PAC ID: 9335056308 Enrollment ID: O20040928000202

Provider Name	Foundation Health Services, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376922278 PECOS PAC ID: 6709173529 Enrollment ID: O20160922000978

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. Mr Bryan Federico 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
Mr Bryan Federico, DOCTOR OF PHYSICAL T 2410 Susannah St, Johnson City, TN 37601-1748 Ph: (423) 282-9011	Mr Bryan Federico, DOCTOR OF PHYSICAL T 2410 Susannah St, Johnson City, TN 37601-1748 Ph: (423) 282-9011

Reviews and Comments

Physical Therapist in Johnson City, TN

Lauren Hope Campbell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3915 Bristol Hwy Ste 301, Johnson City, TN 37601 Phone: 423-556-8943
Alexis Beach, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2312 Knob Creedk Rd Ste 200, Johnson City, TN 37604 Phone: 423-232-8302
Dr. Hannah Michelle Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 E Mountain View Rd, Johnson City, TN 37601 Phone: 423-291-0234
Amanda M Minick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1043 Jack Vest Dr, Johnson City, TN 37614 Phone: 423-439-4044
Jacqueline Ann White, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 612 Lyle St Ste 118, Johnson City, TN 37604 Phone: 423-328-3156
Jessica Story, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3209 Bristol Hwy, Johnson City, TN 37601 Phone: 423-282-3311
Olivia Cathryn Boles, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3135 Peoples St Ste 404, Johnson City, TN 37604 Phone: 423-454-1006

Mr Bryan Federico, DOCTOR OF PHYSICAL T - Medicare Physical Therapist in Johnson City, TN