Mr Ross Joseph Brakeville, DPT in Kennesaw, GA - Medicare Physical Therapist Provider

Mr Ross Joseph Brakeville, DPT is a medicare enrolled "Physical Therapist - Sports" provider in Kennesaw, Georgia. His current practice location is 2300 Kinsale Point, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 469-3007.

Mr Ross Joseph Brakeville is licensed to practice in Georgia (license number 002536) 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 1013997139.

Contact Information

	Mr Ross Joseph Brakeville, DPT
	2300 Kinsale Point, Kennesaw, GA 30152-6756
	(678) 469-3007
	(404) 350-9405

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Ross Joseph Brakeville
Gender	Male
Speciality	Physical Therapist - Sports
Location	2300 Kinsale Point, Kennesaw, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013997139
Provider Enumeration Date: 01/17/2006
Last Update Date: 06/13/2024

Medicare PECOS Information:

PECOS PAC ID: 1052369360
Enrollment ID: I20050105000087

Medical Identifiers

Medical identifiers for Mr Ross Joseph Brakeville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013997139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251P0200X	Physical Therapist - Pediatrics	002536 (Georgia)	Secondary
2251S0007X	Physical Therapist - Sports	002536 (Georgia)	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 Ross Joseph Brakeville allows following entities to bill medicare on his behalf.

Provider Name	Georgia Physical Therapy & Sports Medicine Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790898617 PECOS PAC ID: 0941303028 Enrollment ID: O20070309000338

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 Ross Joseph Brakeville 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 Ross Joseph Brakeville, DPT 2300 Kinsale Point, Kennesaw, GA 30152-6756 Ph: (678) 469-3007	Mr Ross Joseph Brakeville, DPT 2300 Kinsale Point, Kennesaw, GA 30152-6756 Ph: (678) 469-3007

Reviews and Comments

Physical Therapist in Kennesaw, GA

Divya Subhadra Nadimpalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 Mccook Dr Nw, Kennesaw, GA 30144 Phone: 901-212-5834
Laura Bonin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St Nw Ste 602, Kennesaw, GA 30144 Phone: 770-558-5491
Brittany Strache, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Chastain Rd Nw, Ste 428, Kennesaw, GA 30144 Phone: 770-425-6701 Fax: 770-425-6703
Mary Yostpille, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2774 Cobb Pkwy Nw Ste 112, Kennesaw, GA 30152 Phone: 678-809-8448
Leslie Cole Landen, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015 Vaughn Rd Nw Ste 130, Kennesaw, GA 30144 Phone: 770-425-6661
Dr. Dustin Dobbs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3105 Creekside Village Dr Nw, Suite 701, Kennesaw, GA 30144 Phone: 678-574-6868

Mr Ross Joseph Brakeville, DPT - Medicare Physical Therapist in Kennesaw, GA