Suzanne Kathleen Countryman, DPT is a medicare enrolled "Physical Therapist" provider in George West, Texas. Her current practice location is
2951 Highway 281, George West, Texas. You can reach out to her office (for appointments etc.) via phone at
(800) 456-5857.
Suzanne Kathleen Countryman is licensed to practice in Texas (license number 1102721) 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 1962968826.
Healthcare Provider's Profile
| Full Name | Suzanne Kathleen Countryman |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 2951 Highway 281, George West, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1962968826
- Provider Enumeration Date: 02/15/2019
- Last Update Date: 02/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 6406186055
- Enrollment ID: I20231019003776
Medical Identifiers
Medical identifiers for Suzanne Kathleen Countryman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962968826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 40QA01170300 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | 1102721 (Texas) | 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. Suzanne Kathleen Countryman allows following entities to bill medicare on her behalf.
| Provider Name | Orthopaedic And Neurological Rehab Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1225496540
PECOS PAC ID: 6507159126
Enrollment ID: O20200330000243 |
|---|
| Provider Name | Empowerme Rehabilitation Llc |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1255900296
PECOS PAC ID: 2769723162
Enrollment ID: O20211006001271 |
|---|
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. Suzanne Kathleen Countryman 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 |
|---|
Suzanne Kathleen Countryman, DPT
12702 Possum Hollow Dr,
Austin, TX 78729-7239
Ph: (917) 716-6733 | Suzanne Kathleen Countryman, DPT
2951 Highway 281,
George West, TX 78022-3845
Ph: (800) 456-5857 |
Reviews and Comments