Pamela Branham Carlson, PT is a medicare enrolled "Physical Therapist" provider in Westworth Village, Texas. Her current practice location is
25 Leonard Trl, Westworth Village, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 793-9877.
Pamela Branham Carlson is licensed to practice in Texas (license number 1122299) 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 1932964509.
Healthcare Provider's Profile
| Full Name | Pamela Branham Carlson |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 25 Leonard Trl, Westworth Village, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932964509
- Provider Enumeration Date: 02/14/2024
- Last Update Date: 02/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244677938
- Enrollment ID: I20240318000257
Medical Identifiers
Medical identifiers for Pamela Branham Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932964509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 1122299 (Texas) | 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. Pamela Branham Carlson allows following entities to bill medicare on her behalf.
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1952531154
PECOS PAC ID: 6507832573
Enrollment ID: O20160330000839 |
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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. Pamela Branham Carlson 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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Pamela Branham Carlson, PT
10232 Mustang Downs Dr,
Fort Worth, TX 76126-6453
Ph: (817) 793-8777 | Pamela Branham Carlson, PT
25 Leonard Trl,
Westworth Village, TX 76114-4037
Ph: (817) 793-9877 |
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