Mr Gregg Wesley Potter, PT, MPT is a medicare enrolled "Physical Therapist" provider in Black Canyon City, Arizona. His current practice location is
34301 S Old Black Canyon Hwy Ste 7, Black Canyon City, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 363-8691.
Mr Gregg Wesley Potter is licensed to practice in Arizona (license number 3297) 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 1710980487.
Healthcare Provider's Profile
| Full Name | Mr Gregg Wesley Potter |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 34301 S Old Black Canyon Hwy Ste 7, Black Canyon City, Arizona |
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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: 1710980487
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 02/05/2017
Medicare PECOS Information:
- PECOS PAC ID: 1153317276
- Enrollment ID: I20040423000482
Medical Identifiers
Medical identifiers for Mr Gregg Wesley Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710980487 | NPI | - | NPPES |
| 331041 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 3297 (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 Gregg Wesley Potter allows following entities to bill medicare on his behalf.
| Provider Name | American Physical Medicine Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528405263
PECOS PAC ID: 1951538628
Enrollment ID: O20131230001536 |
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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 Gregg Wesley Potter 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 Gregg Wesley Potter, PT, MPT
Po Box 1515,
Black Canyon City, AZ 85324-1515
Ph: (623) 363-8691 | Mr Gregg Wesley Potter, PT, MPT
34301 S Old Black Canyon Hwy Ste 7,
Black Canyon City, AZ 85324-9728
Ph: (623) 363-8691 |
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