Mr Gerald Breedlove, DPT, ATC is a medicare enrolled "Physical Therapist" provider in Rock Creek, Ohio. His current practice location is
3058 Latimer Rd, Rock Creek, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 563-9144.
Mr Gerald Breedlove is licensed to practice in Ohio (license number PT0013055) 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 1184927147.
Healthcare Provider's Profile
| Full Name | Mr Gerald Breedlove |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 3058 Latimer Rd, Rock Creek, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184927147
- Provider Enumeration Date: 12/14/2010
- Last Update Date: 04/08/2011
Medicare PECOS Information:
- PECOS PAC ID: 9436335361
- Enrollment ID: I20110510000919
Medical Identifiers
Medical identifiers for Mr Gerald Breedlove such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184927147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT0013055 (Ohio) | 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 Gerald Breedlove allows following entities to bill medicare on his behalf.
| Provider Name | Lake Orthopaedic Associates, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1942470174
PECOS PAC ID: 1052361771
Enrollment ID: O20050131000034 |
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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 Gerald Breedlove 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 |
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Mr Gerald Breedlove, DPT, ATC
3058 Latimer Rd,
Rock Creek, OH 44084-9632
Ph: (440) 563-9144 | Mr Gerald Breedlove, DPT, ATC
3058 Latimer Rd,
Rock Creek, OH 44084-9632
Ph: (440) 563-9144 |
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