Samantha O Gammon, DPT in Olive Branch, MS - Medicare Physical Therapist Provider

Samantha O Gammon, DPT is a medicare enrolled "Physical Therapist" provider in Olive Branch, Mississippi. Her current practice location is 8110 Camp Creek Rd Ste 106, Olive Branch, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 893-1933.

Samantha O Gammon is licensed to practice in Mississippi (license number ) 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 1326663360.

Contact Information

	Samantha O Gammon, DPT
	8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654-1622
	(662) 893-1933
	(662) 893-1934

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha O Gammon
Gender	Female
Speciality	Physical Therapist
Location	8110 Camp Creek Rd Ste 106, Olive Branch, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326663360
Provider Enumeration Date: 06/16/2020
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 9537582481
Enrollment ID: I20200710000056

Medical Identifiers

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

Identifier	Type	State	Issuer
1326663360	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Mississippi)	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 O Gammon allows following entities to bill medicare on her behalf.

Provider Name	Agilitas Usa Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130219000317

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 O Gammon 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 O Gammon, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 206-4158	Samantha O Gammon, DPT 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654-1622 Ph: (662) 893-1933

Reviews and Comments

Physical Therapist in Olive Branch, MS

Nicholas Bailey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934
Tina Marie Erber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4780 Medora Dr, Olive Branch, MS 38654 Phone: 662-895-1891
Exos Physical Therapy & Sports Medicine, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 205-259-3991
Joshua Mark Day, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934
Tarah L Rudd, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4578 Pleasant Breeze Dr, Olive Branch, MS 38654 Phone: 901-268-9759
Holly Johnson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2268 Ross Rd, Olive Branch, MS 38654 Phone: 662-808-2680 Fax: 662-895-0566
Blake Jordan Falconello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 662-874-5964 Fax: 662-874-5176

Samantha O Gammon, DPT - Medicare Physical Therapist in Olive Branch, MS