<unavail> in Upper Marlboro, MD - Medicare Physical Therapist Provider

is a medicare enrolled "Physical Therapist - Orthopedic" provider in Upper Marlboro, Maryland. Their current practice location is 77 Kettering Dr, Upper Marlboro, Maryland. You can reach out to their office (for appointments etc.) via phone at (240) 312-2010.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1447881396.

Contact Information


	77 Kettering Dr, Upper Marlboro, MD 20774-1676
	(240) 312-2010
	(240) 312-2010

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Physical Therapist - Orthopedic
Location	77 Kettering Dr, Upper Marlboro, Maryland
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447881396
Provider Enumeration Date: 01/29/2020
Last Update Date: 02/24/2021

Medicare PECOS Information:

PECOS PAC ID: 2466852835
Enrollment ID: O20210608000258

Medical Identifiers

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

Identifier	Type	State	Issuer
1447881396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	(* (Not Available))	Primary
261QP2000X	Clinic/center - Physical Therapy	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Jamila C Rawlings Logan
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1841540580 PECOS PAC ID: 0749431534 Enrollment ID: I20121102000259

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. 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
77 Kettering Dr, Upper Marlboro, MD 20774-1676 Ph: (240) 312-2010	77 Kettering Dr, Upper Marlboro, MD 20774-1676 Ph: (240) 312-2010

Reviews and Comments

Physical Therapist in Upper Marlboro, MD

Adeolu Tolulope Kehinde, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10666 Campus Way S, Upper Marlboro, MD 20774 Phone: 240-492-0643 Fax: 301-778-1927
Juanita Pughsley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10809 Kingsmere Ct, Upper Marlboro, MD 20774 Phone: 301-336-3092
Raneika Shirrelle Bean, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9440 Pennsylvania Ave, 215, Upper Marlboro, MD 20772 Phone: 301-599-8899
Ms. Pamela C Hairston, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14021 Reverend Boucher Pl, Upper Marlboro, MD 20772 Phone: 301-627-1823
Dr. Revenda Greene, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1208 Canvasback Ct, Upper Marlboro, MD 20774 Phone: 301-266-9758
Rein Remedy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 16900 Claggett Landing Rd, Upper Marlboro, MD 20774 Phone: 443-867-2979
Ms. Renee M. Riley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1401 Mercantile Lane, Suite 107, Upper Marlboro, MD 20774 Phone: 301-658-6881 Fax: 301-322-2193

- Medicare Physical Therapist in Upper Marlboro, MD