Stefan Thornberry, PT, DPT in Ashland, KY - Medicare Physical Therapist Provider

Stefan Thornberry, PT, DPT is a medicare enrolled "Physical Therapist" provider in Ashland, Kentucky. His current practice location is 2400 13th St, Ashland, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 325-0910.

Stefan Thornberry is licensed to practice in Kentucky (license number 008357) 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 1104592187.

Contact Information

	Stefan Thornberry, PT, DPT
	2400 13th St, Ashland, KY 41102-4510
	(606) 325-0910
	(606) 325-8434

Map and Direction

Healthcare Provider's Profile

Full Name	Stefan Thornberry
Gender	Male
Speciality	Physical Therapist
Location	2400 13th St, Ashland, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104592187
Provider Enumeration Date: 08/19/2021
Last Update Date: 08/19/2021

Medicare PECOS Information:

PECOS PAC ID: 0042665523
Enrollment ID: I20231018003792

Medical Identifiers

Medical identifiers for Stefan Thornberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104592187	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	008357 (Kentucky)	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. Stefan Thornberry allows following entities to bill medicare on his behalf.

Provider Name	Southeastern Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699791129 PECOS PAC ID: 0840583407 Enrollment ID: O20160720001580

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. Stefan Thornberry 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
Stefan Thornberry, PT, DPT Po Box 1240, Ashland, KY 41105-1240 Ph: (606) 325-7955	Stefan Thornberry, PT, DPT 2400 13th St, Ashland, KY 41102-4510 Ph: (606) 325-0910

Reviews and Comments

Physical Therapist in Ashland, KY

Mckenzie S Huffman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 13th St, Ashland, KY 41102 Phone: 606-329-0910 Fax: 606-325-8434
David Warren Apts, PT OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 13th Street, Ashland, KY 41102 Phone: 606-329-0910 Fax: 606-325-9848
Michael Lynn Thompson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2400 13th Street, Ashland, KY 41102 Phone: 606-329-0910 Fax: 606-325-9848
Kyle W Wessel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2400 13th St, Ashland, KY 41102 Phone: 606-329-0910 Fax: 606-325-8434
Todd E. Munson, PT, OCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 2400 13th Street, Ashland, KY 41102 Phone: 606-329-0910 Fax: 606-325-9848
Katrina Jean Rollins, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 Charles St, Ashland, KY 41102 Phone: 606-571-7676
Megan Boggs, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 13th St, Ashland, KY 41102 Phone: 606-329-0910 Fax: 606-325-8434

Stefan Thornberry, PT, DPT - Medicare Physical Therapist in Ashland, KY