Nathan Stafford, DPT is a medicare enrolled "Physical Therapist" provider in Cape Canaveral, Florida. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Fray And Stafford Physical Therapy, Co and his current practice location is
390 Challenger Rd, Cape Canaveral, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 633-8640.
Nathan Stafford is licensed to practice in Florida (license number 33751) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457824732.
Healthcare Provider's Profile
| Full Name | Nathan Stafford |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 6 Years |
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| Location | 390 Challenger Rd, Cape Canaveral, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nathan Stafford graduated from medical school in 2018
NPI Data:
- NPI Number: 1457824732
- Provider Enumeration Date: 01/09/2019
- Last Update Date: 04/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305183294
- Enrollment ID: I20190131000213
Medical Identifiers
Medical identifiers for Nathan Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457824732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 33751 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fray And Stafford Physical Therapy, Co | 4587055512 | 3 |
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. Nathan Stafford allows following entities to bill medicare on his behalf.
| Provider Name | North Brevard Medical Support Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609834886
PECOS PAC ID: 7618870296
Enrollment ID: O20040130000385 |
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| Provider Name | Fray & Stafford Physical Therapy, Co |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1265103154
PECOS PAC ID: 4587055512
Enrollment ID: O20211229001037 |
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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. Nathan Stafford 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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Nathan Stafford, DPT
390 Challenger Rd,
Cape Canaveral, FL 32920-4200
Ph: (321) 633-8640 | Nathan Stafford, DPT
390 Challenger Rd,
Cape Canaveral, FL 32920-4200
Ph: (321) 633-8640 |
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