Rudo Alice Takawira, PT in Flowery Branch, GA - Medicare Physical Therapist Provider

Rudo Alice Takawira, PT is a medicare enrolled "Physical Therapist" provider in Flowery Branch, Georgia. Her current practice location is 4595 Cantrell Rd, Flowery Branch, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 967-2070.

Rudo Alice Takawira is licensed to practice in Georgia (license number PT012671) 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 1104331206.

Contact Information

	Rudo Alice Takawira, PT
	4595 Cantrell Rd, Flowery Branch, GA 30542-3304
	(770) 967-2070
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rudo Alice Takawira
Gender	Female
Speciality	Physical Therapist
Location	4595 Cantrell Rd, Flowery Branch, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104331206
Provider Enumeration Date: 12/11/2017
Last Update Date: 03/29/2021

Medicare PECOS Information:

PECOS PAC ID: 3173922556
Enrollment ID: I20210604002796

Medical Identifiers

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

Identifier	Type	State	Issuer
1104331206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251G0304X	Physical Therapist - Geriatrics	PT012671 (Georgia)	Secondary
225100000X	Physical Therapist	PT012671 (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. Rudo Alice Takawira allows following entities to bill medicare on her behalf.

Provider Name	Georgia Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811

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. Rudo Alice Takawira 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
Rudo Alice Takawira, PT 2376 Bransley Pl, Duluth, GA 30097-4336 Ph: (214) 952-4605	Rudo Alice Takawira, PT 4595 Cantrell Rd, Flowery Branch, GA 30542-3304 Ph: (770) 967-2070

Reviews and Comments

Physical Therapist in Flowery Branch, GA

Mrs. Gina Renee Blake, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 4754 Martin Rd, Suite 200, Flowery Branch, GA 30542 Phone: 770-967-4377 Fax: 770-967-8077
Casey Lord, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4450 Falcon Pkwy, Flowery Branch, GA 30542 Phone: 404-778-6390
Joseph B Taylor, PT,DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 5887 Spout Springs Rd Ste D403, Flowery Branch, GA 30542 Phone: 770-967-9301 Fax: 770-967-9526
Wonder Therapeutic Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4875 Hog Mountain Rd Ste B, Flowery Branch, GA 30542 Phone: 404-406-8272 Fax: 770-965-1008
Trey M Short, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 4754 Martin Rd Ste 200, Flowery Branch, GA 30542 Phone: 770-967-4377 Fax: 770-967-8077
Stephen Mayo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4754 Martin Rd # 200, Flowery Branch, GA 30542 Phone: 770-967-4377

Rudo Alice Takawira, PT - Medicare Physical Therapist in Flowery Branch, GA