Ms Autumn Lebank, DPT in Brooklyn, NY - Medicare Physical Therapist Provider

Ms Autumn Lebank, DPT is a medicare enrolled "Physical Therapist" provider in Brooklyn, New York. Her current practice location is 745 President St, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (503) 931-1946.

Ms Autumn Lebank is licensed to practice in New York (license number 033968) 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 1417221979.

Contact Information

	Ms Autumn Lebank, DPT
	745 President St, Brooklyn, NY 11215-1303
	(503) 931-1946
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Autumn Lebank
Gender	Female
Speciality	Physical Therapist
Location	745 President St, Brooklyn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417221979
Provider Enumeration Date: 03/01/2012
Last Update Date: 12/10/2014

Medicare PECOS Information:

PECOS PAC ID: 1557642063
Enrollment ID: I20240328001818

Medical Identifiers

Medical identifiers for Ms Autumn Lebank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417221979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	033968 (New York)	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. Ms Autumn Lebank allows following entities to bill medicare on her behalf.

Provider Name	Fanno Creek Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609876705 PECOS PAC ID: 0042100521 Enrollment ID: O20040318000244

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. Ms Autumn Lebank 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
Ms Autumn Lebank, DPT 745 President St, Brooklyn, NY 11215-1303 Ph: (503) 931-1946	Ms Autumn Lebank, DPT 745 President St, Brooklyn, NY 11215-1303 Ph: (503) 931-1946

Reviews and Comments

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Ms Autumn Lebank, DPT - Medicare Physical Therapist in Brooklyn, NY