Revajo S Broadwater, PT in Valdosta, GA - Medicare Physical Therapy Provider

Revajo S Broadwater, PT is a medicare enrolled "Physical Therapist" provider in Valdosta, Georgia. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is 3537 North Crossing Circle, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 333-0095.

Revajo S Broadwater is licensed to practice in Georgia (license number 1473) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023111317.

Contact Information

	Revajo S Broadwater, PT
	3537 North Crossing Circle, Valdosta, GA 31602
	(229) 333-0095
	(229) 333-0756

Map and Direction

Healthcare Provider's Profile

Full Name	Revajo S Broadwater
Gender	Female
Speciality	Physical Therapy
Experience	18 Years
Location	3537 North Crossing Circle, Valdosta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Revajo S Broadwater graduated from medical school in 2006

NPI Data:

NPI Number: 1023111317
Provider Enumeration Date: 09/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8729179239
Enrollment ID: I20080225000064

Medical Identifiers

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

Identifier	Type	State	Issuer
1023111317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1473 (Georgia)	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. Revajo S Broadwater allows following entities to bill medicare on her behalf.

Provider Name	Center For Physical Rehabilitation, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497858781 PECOS PAC ID: 0648361154 Enrollment ID: O20080225000049

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. Revajo S Broadwater 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
Revajo S Broadwater, PT 3537 North Crossing Circle, Valdosta, GA 31602 Ph: (229) 333-0095	Revajo S Broadwater, PT 3537 North Crossing Circle, Valdosta, GA 31602 Ph: (229) 333-0095

Reviews and Comments

Physical Therapist in Valdosta, GA

Mrs. Anna Deloach, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 W Park Ave, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522
North Valdosta Therapy Services Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4611 Tillman Bluff Rd, Valdosta, GA 31602 Phone: 229-219-0700 Fax: 229-219-0702
Dr. John Tanner Allen, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 Clover Hill Rd, Valdosta, GA 31602 Phone: 229-740-3484
Robertus Wolters, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3368 Greystone Way, Valdosta, GA 31605 Phone: 229-242-6670 Fax: 229-242-6671
Steven C Moore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2704 N Oak St Bldg A2, Valdosta, GA 31602 Phone: 229-253-1009 Fax: 229-253-1039
Valdosta Pediatric Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 W Moore St, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522

Revajo S Broadwater, PT - Medicare Physical Therapist in Valdosta, GA