Samantha Godfrey, PT in Charlotte, NC - Medicare Physical Therapist Provider

Samantha Godfrey, PT is a medicare enrolled "Physical Therapist" provider in Charlotte, North Carolina. Her current practice location is 10610 Metromont Pkwy Ste 108, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 938-0693.

Samantha Godfrey is licensed to practice in North Carolina (license number P22345) 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 1235784737.

Contact Information

	Samantha Godfrey, PT
	10610 Metromont Pkwy Ste 108, Charlotte, NC 28269-7685
	(980) 938-0693
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Godfrey
Gender	Female
Speciality	Physical Therapist
Location	10610 Metromont Pkwy Ste 108, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235784737
Provider Enumeration Date: 08/02/2019
Last Update Date: 10/08/2024

Medicare PECOS Information:

PECOS PAC ID: 2163886888
Enrollment ID: I20230914000929

Medical Identifiers

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

Identifier	Type	State	Issuer
1235784737	NPI	-	NPPES
1019541330001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT027851 (Pennsylvania)	Secondary
225100000X	Physical Therapist	P22345 (North Carolina)	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. Samantha Godfrey allows following entities to bill medicare on her behalf.

Provider Name	Black Mountain Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1457696361 PECOS PAC ID: 4385896349 Enrollment ID: O20121220000424

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. Samantha Godfrey 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
Samantha Godfrey, PT Po Box 392573, Pittsburgh, PA 15251-9573 Ph: (724) 343-4060	Samantha Godfrey, PT 10610 Metromont Pkwy Ste 108, Charlotte, NC 28269-7685 Ph: (980) 938-0693

Reviews and Comments

Physical Therapist in Charlotte, NC

Karan Bobby Johar, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 3800 Shamrock Dr, Charlotte, NC 28215 Phone: 704-532-7000
Jessica Huschart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2382
Victoria Parish Reynolds, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15825 Ballantyne Medical Pl Ste 120, Charlotte, NC 28277 Phone: 704-323-3409
Activade Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 Woodruff Pl, Charlotte, NC 28208 Phone: 704-839-2019
Gelt Haridhas Pushpa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 445 S Kings Dr, Charlotte, NC 28204 Phone: 704-384-1737
Reyna Yuritzia Fox, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3442 Cypress Club Dr, Charlotte, NC 28210 Phone: 704-714-5500
Ashley F Volpenhein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7422 Lancer Dr, Charlotte, NC 28226 Phone: 704-307-0897

Samantha Godfrey, PT - Medicare Physical Therapist in Charlotte, NC