Mr Edward Roy Braddock, PT in Beaver Falls, PA - Medicare Physical Therapist Provider

Mr Edward Roy Braddock, PT is a medicare enrolled "Physical Therapist" provider in Beaver Falls, Pennsylvania. His current practice location is 124 Loughridge Dr, Beaver Falls, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 846-5887.

Mr Edward Roy Braddock is licensed to practice in Pennsylvania (license number PT006762L) 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 1497707228.

Contact Information

	Mr Edward Roy Braddock, PT
	124 Loughridge Dr, Beaver Falls, PA 15010-1422
	(724) 846-5887
	(724) 843-9276

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Edward Roy Braddock
Gender	Male
Speciality	Physical Therapist
Location	124 Loughridge Dr, Beaver Falls, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497707228
Provider Enumeration Date: 05/17/2006
Last Update Date: 12/07/2017

Medicare PECOS Information:

PECOS PAC ID: 7416922026
Enrollment ID: I20040827000627

Medical Identifiers

Medical identifiers for Mr Edward Roy Braddock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497707228	NPI	-	NPPES
1627513	Other	PA	HIGHMARK BC/BS
000000359936	Other	OH	ANTHEM BC/BS OF OHIO
P00272193	Other		RAILROAD MEDICARE
2552830	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT006762L (Pennsylvania)	Primary
225100000X	Physical Therapist	PT010934 (Ohio)	Secondary

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 Edward Roy Braddock allows following entities to bill medicare on his behalf.

Provider Name	Braddock Physical Therapy & Rehabilitation Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1700907938 PECOS PAC ID: 3072569862 Enrollment ID: O20060317000178

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 Edward Roy Braddock 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 Edward Roy Braddock, PT 124 Loughridge Dr, Beaver Falls, PA 15010-1422 Ph: (724) 462-5650	Mr Edward Roy Braddock, PT 124 Loughridge Dr, Beaver Falls, PA 15010-1422 Ph: (724) 846-5887

Reviews and Comments

Physical Therapist in Beaver Falls, PA

Michael William Kopacko, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1122 7th Ave, Suite C, Beaver Falls, PA 15010 Phone: 724-843-7930
Mrs. Mary Matkan, P.T./L Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 257 Georgetown Road, Beaver Falls, PA 15010 Phone: 724-846-8200 Fax: 724-847-2998
Mrs. Lisa Marie Ryan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 257 Georgetown Rd, Beaver Falls, PA 15010 Phone: 724-846-8200 Fax: 724-847-2998
Dr. Lauren Schoentag, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 257 Georgetown Road, Beaver Falls, PA 15010 Phone: 724-846-8200
Amanda Lynn Grater, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2580 Constitution Blvd, Beaver Falls, PA 15010 Phone: 724-847-1180 Fax: 724-847-7592
Antoine D Jordan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Loughridge Dr, Beaver Falls, PA 15010 Phone: 724-846-5887 Fax: 724-846-1867
Edward Grisnik, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1122 7th Ave, Beaver Falls, PA 15010 Phone: 724-843-7930

Mr Edward Roy Braddock, PT - Medicare Physical Therapist in Beaver Falls, PA