Stephanie Marie Ravalese, PT, DPT in Lithonia, GA - Medicare Physical Therapist Provider

Stephanie Marie Ravalese, PT, DPT is a medicare enrolled "Physical Therapist" provider in Lithonia, Georgia. Her current practice location is 3007 Panola Rd Ste C, Lithonia, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 987-1122.

Stephanie Marie Ravalese is licensed to practice in Georgia (license number PT014490) 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 1033629639.

Contact Information

	Stephanie Marie Ravalese, PT, DPT
	3007 Panola Rd Ste C, Lithonia, GA 30038-2492
	(770) 987-1122
	(770) 987-1149

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Marie Ravalese
Gender	Female
Speciality	Physical Therapist
Location	3007 Panola Rd Ste C, Lithonia, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033629639
Provider Enumeration Date: 10/09/2017
Last Update Date: 02/28/2020

Medicare PECOS Information:

PECOS PAC ID: 9638444847
Enrollment ID: I20210304002550

Medical Identifiers

Medical identifiers for Stephanie Marie Ravalese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033629639	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	23275 (Massachusetts)	Secondary
225100000X	Physical Therapist	PT014490 (Georgia)	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. Stephanie Marie Ravalese allows following entities to bill medicare on her behalf.

Provider Name	Santa Monica Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1558925941 PECOS PAC ID: 7517292865 Enrollment ID: O20190710000206

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. Stephanie Marie Ravalese 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
Stephanie Marie Ravalese, PT, DPT 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915 Ph: (423) 238-7217	Stephanie Marie Ravalese, PT, DPT 3007 Panola Rd Ste C, Lithonia, GA 30038-2492 Ph: (770) 987-1122

Reviews and Comments

Physical Therapist in Lithonia, GA

Jordan Alliah Davis, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149
Michelle Alade, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122
Ami Kirollos, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122
Shelby Kay Vandeberghe, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149
Khianna Anthony, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122
Corrine Celeste Bolles, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6000 Hillandale Dr Ste 145, Lithonia, GA 30058 Phone: 678-418-8072 Fax: 678-418-8072

Stephanie Marie Ravalese, PT, DPT - Medicare Physical Therapist in Lithonia, GA