Mr Dustin Ray Brisco, PT in Kingman, AZ - Medicare Physical Therapist Provider

Mr Dustin Ray Brisco, PT is a medicare enrolled "Physical Therapist" provider in Kingman, Arizona. His current practice location is 2120 Airway Avenue, Kingman, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 757-1211.

Mr Dustin Ray Brisco is licensed to practice in Arizona (license number 5607) 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 1538243183.

Contact Information

	Mr Dustin Ray Brisco, PT
	2120 Airway Avenue, Kingman, AZ 86409-3027
	(928) 757-1211
	(928) 757-8826

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Dustin Ray Brisco
Gender	Male
Speciality	Physical Therapist
Location	2120 Airway Avenue, Kingman, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538243183
Provider Enumeration Date: 10/24/2006
Last Update Date: 12/05/2008

Medicare PECOS Information:

PECOS PAC ID: 4981626405
Enrollment ID: I20180927000110

Medical Identifiers

Medical identifiers for Mr Dustin Ray Brisco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538243183	NPI	-	NPPES
755217	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5607 (Arizona)	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. Mr Dustin Ray Brisco allows following entities to bill medicare on his behalf.

Provider Name	Bhsm Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497271431 PECOS PAC ID: 2062773138 Enrollment ID: O20180306002185

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 Dustin Ray Brisco 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 Dustin Ray Brisco, PT 2120 Airway Avenue, Kingman, AZ 86409-3027 Ph: (928) 757-1211	Mr Dustin Ray Brisco, PT 2120 Airway Avenue, Kingman, AZ 86409-3027 Ph: (928) 757-1211

Reviews and Comments

Physical Therapist in Kingman, AZ

Peyton Matthew Cardiff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2120 Airway Ave, Kingman, AZ 86409 Phone: 928-757-1211
Mrs. Kimberly Ann Brisco, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2120 Airway Avenue, Kingman, AZ 86409 Phone: 928-757-1211 Fax: 928-757-8826
Kenneth Mcadow, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 Phone: 928-440-6880
Lisa A Alexander, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 Hualapai Mountain, Suite E, Kingman, AZ 86401 Phone: 928-718-4300
John Brit Haws, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3131 Western Ave, Kingman, AZ 86401 Phone: 928-718-0718
Mr. David Lee Schmitz, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2120 Airway Ave, Kingman, AZ 86409 Phone: 928-757-1211 Fax: 928-757-8826
Kimberley Kiel Deering, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1841 E Morrow Ave, Kingman, AZ 86409 Phone: 928-753-4263 Fax: 928-753-1173

Mr Dustin Ray Brisco, PT - Medicare Physical Therapist in Kingman, AZ