Russell Wayne Carr, PT, DPT in Kingsport, TN - Medicare Physical Therapist Provider

Russell Wayne Carr, PT, DPT is a medicare enrolled "Physical Therapist" provider in Kingsport, Tennessee. His current practice location is 1704 E Stone Dr Ste 120, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 765-0985.

Russell Wayne Carr is licensed to practice in Tennessee (license number 12261) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639694490.

Contact Information

	Russell Wayne Carr, PT, DPT
	1704 E Stone Dr Ste 120, Kingsport, TN 37660-4679
	(423) 765-0985
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Russell Wayne Carr
Gender	Male
Speciality	Physical Therapist
Location	1704 E Stone Dr Ste 120, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639694490
Provider Enumeration Date: 08/13/2017
Last Update Date: 03/09/2020

Medicare PECOS Information:

PECOS PAC ID: 9739454174
Enrollment ID: I20171010003413

Medical Identifiers

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

Identifier	Type	State	Issuer
1639694490	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT013054 (Georgia)	Secondary
225100000X	Physical Therapist	12261 (Tennessee)	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. Russell Wayne Carr allows following entities to bill medicare on his behalf.

Provider Name	Independent Physical Therapy Of Georgia Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396

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. Russell Wayne Carr 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
Russell Wayne Carr, PT, DPT 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915 Ph: (423) 238-8930	Russell Wayne Carr, PT, DPT 1704 E Stone Dr Ste 120, Kingsport, TN 37660-4679 Ph: (423) 765-0985

Reviews and Comments

Physical Therapist in Kingsport, TN

Mrs. Allene Proctor Heaton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Stone Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-5751 Fax: 423-224-5776
Makaylah Darnell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Netherland Ln, Kingsport, TN 37660 Phone: 423-245-0360
Gilgia Prumbs, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2408 Fort Henry Dr, Kingsport, TN 37664 Phone: 423-246-7272 Fax: 423-246-2803
Dr. Emily Kristina Stubblefield, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Cassell Drive, Kingsport, TN 37660 Phone: 423-246-7240
Advanced Therapy Of Kingsport Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 E Stone Dr Ste 3, Kingsport, TN 37660 Phone: 423-230-6323
Mary Rebecca Mooney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Stone Dr, Kingsport, TN 37660 Phone: 423-224-5751
Sarah Elizabeth Caldwell, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 W Stone Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-2059

Russell Wayne Carr, PT, DPT - Medicare Physical Therapist in Kingsport, TN