Mrs Annette Humphrey, PT is a medicare enrolled "Physical Therapist" provider in Manchester, Georgia. Her current practice location is
1140 Warm Springs Hwy, Manchester, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 846-3717.
Mrs Annette Humphrey is licensed to practice in Georgia (license number 741) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609944990.
Healthcare Provider's Profile
| Full Name | Mrs Annette Humphrey |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 1140 Warm Springs Hwy, Manchester, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1609944990
- Provider Enumeration Date: 12/02/2006
- Last Update Date: 02/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 6305121633
- Enrollment ID: I20170328001990
Medical Identifiers
Medical identifiers for Mrs Annette Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609944990 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 741 (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. Mrs Annette Humphrey allows following entities to bill medicare on her behalf.
| Provider Name | Mcm Rehabilitation Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1538226840
PECOS PAC ID: 5294798336
Enrollment ID: O20110826000205 |
|---|
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. Mrs Annette Humphrey 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 |
|---|
Mrs Annette Humphrey, PT
790 Remington Blvd,
Bolingbrook, IL 60440-4909
Ph: (630) 296-2223 | Mrs Annette Humphrey, PT
1140 Warm Springs Hwy,
Manchester, GA 31816-1166
Ph: (706) 846-3717 |
Reviews and Comments