Mrs Tiffani S Bacon, MPT in Ladson, SC - Medicare Physical Therapist Provider

Mrs Tiffani S Bacon, MPT is a medicare enrolled "Physical Therapist" provider in Ladson, South Carolina. Her current practice location is 3851 Commercial Center Dr, Ladson, South Carolina. You can reach out to her office (for appointments etc.) via phone at (888) 510-6369.

Mrs Tiffani S Bacon is licensed to practice in South Carolina (license number 10015) 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 1407911381.

Contact Information

	Mrs Tiffani S Bacon, MPT
	3851 Commercial Center Dr, Ladson, SC 29456-4146
	(888) 510-6369
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tiffani S Bacon
Gender	Female
Speciality	Physical Therapist
Location	3851 Commercial Center Dr, Ladson, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407911381
Provider Enumeration Date: 12/22/2006
Last Update Date: 01/14/2022

Medicare PECOS Information:

PECOS PAC ID: 4880793447
Enrollment ID: I20070621000552

Medical Identifiers

Medical identifiers for Mrs Tiffani S Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407911381	NPI	-	NPPES
P00405932	Other		RAILROAD MEDICARE
TH2249	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	9900 (North Carolina)	Secondary
2251P0200X	Physical Therapist - Pediatrics	9900 (North Carolina)	Secondary
2251P0200X	Physical Therapist - Pediatrics	10015 (South Carolina)	Secondary
225100000X	Physical Therapist	10015 (South Carolina)	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 Tiffani S Bacon allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab North Carolina Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1629568647 PECOS PAC ID: 8820336324 Enrollment ID: O20190207001822

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 Tiffani S Bacon 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 Tiffani S Bacon, MPT 3851 Commercial Center Dr, Ladson, SC 29456-4146 Ph: () -	Mrs Tiffani S Bacon, MPT 3851 Commercial Center Dr, Ladson, SC 29456-4146 Ph: (888) 510-6369

Reviews and Comments

Physical Therapist in Ladson, SC

Kia Denae Monts, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434
Jessica Kelly, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 Fax: 888-510-9156
Chelsea Wright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Ste 105, Ladson, SC 29456 Phone: 888-510-6369 Fax: 888-510-5362
Caroline Moseley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434
Rachel Lange, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 Fax: 888-510-9156
Maegan Reed, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Bldg 700, Ladson, SC 29456 Phone: 843-569-4546
Marissa Slate, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Ste 102, Ladson, SC 29456 Phone: 843-314-5434 Fax: 888-510-9156

Mrs Tiffani S Bacon, MPT - Medicare Physical Therapist in Ladson, SC