Samuel Latendresse, DPT in Lexington, TN - Medicare Physical Therapist Provider

Samuel Latendresse, DPT is a medicare enrolled "Physical Therapist" provider in Lexington, Tennessee. His current practice location is 337 West Church Street, Lexington, Tennessee. You can reach out to his office (for appointments etc.) via phone at () -.

Samuel Latendresse is licensed to practice in * (Not Available) (license number ) 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 1124707823.

Contact Information

	Samuel Latendresse, DPT
	337 West Church Street, Lexington, TN 38351
	() -
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Latendresse
Gender	Male
Speciality	Physical Therapist
Location	337 West Church Street, Lexington, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124707823
Provider Enumeration Date: 07/12/2023
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 5799211868
Enrollment ID: I20241212001749

Medical Identifiers

Medical identifiers for Samuel Latendresse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124707823	NPI	-	NPPES
Q029723	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Samuel Latendresse allows following entities to bill medicare on his behalf.

Provider Name	Dynamix Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669619268 PECOS PAC ID: 5193873933 Enrollment ID: O20090504000677

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. Samuel Latendresse 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
Samuel Latendresse, DPT Po Box 681478, Franklin, TN 37068-1478 Ph: (615) 591-6590	Samuel Latendresse, DPT 337 West Church Street, Lexington, TN 38351 Ph: () -

Reviews and Comments

Physical Therapist in Lexington, TN

Jeffrey S Mccord, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 759 W Church St, Lexington, TN 38351 Phone: 731-967-3224 Fax: 731-425-3188
Rachel L Segars, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 337 W Church St, Lexington, TN 38351 Phone: 731-967-3788 Fax: 731-967-5520
Lindsay Sutera, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 337 W Church St, Lexington, TN 38351 Phone: 731-967-3788
Jessica Seward, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 9550 Highway 412 W Ste A, Lexington, TN 38351 Phone: 731-967-3224 Fax: 731-967-3305
Crystal Livingston, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3005 Shady Hill Rd, Lexington, TN 38351 Phone: 731-614-8684
Marla Sellers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 251 Eastern Shores Dr, Lexington, TN 38351 Phone: 731-967-0979

Samuel Latendresse, DPT - Medicare Physical Therapist in Lexington, TN