Theodore William Homol Iii, PT, DPT in Harrisburg, NC - Medicare Physical Therapist Provider

Theodore William Homol Iii, PT, DPT is a medicare enrolled "Physical Therapist" provider in Harrisburg, North Carolina. His current practice location is 4275 School House Cmns, Harrisburg, North Carolina. You can reach out to his office (for appointments etc.) via phone at (980) 326-1800.

Theodore William Homol Iii is licensed to practice in North Carolina (license number P21412) 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 1205506912.

Contact Information

	Theodore William Homol Iii, PT, DPT
	4275 School House Cmns, Harrisburg, NC 28075-7503
	(980) 326-1800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theodore William Homol Iii
Gender	Male
Speciality	Physical Therapist
Location	4275 School House Cmns, Harrisburg, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205506912
Provider Enumeration Date: 09/14/2021
Last Update Date: 11/13/2024

Medicare PECOS Information:

PECOS PAC ID: 9335547660
Enrollment ID: I20211018000719

Medical Identifiers

Medical identifiers for Theodore William Homol Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205506912	NPI	-	NPPES
10839	Other	SC	PHYSICAL THERAPY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	28688 (Maryland)	Secondary
225100000X	Physical Therapist	P21412 (North Carolina)	Primary
225100000X	Physical Therapist	10839 (South Carolina)	Secondary

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. Theodore William Homol Iii allows following entities to bill medicare on his behalf.

Provider Name	Maryland Sportscare & Rehab Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1518951995 PECOS PAC ID: 2860440427 Enrollment ID: O20150811004765

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. Theodore William Homol Iii 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
Theodore William Homol Iii, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217	Theodore William Homol Iii, PT, DPT 4275 School House Cmns, Harrisburg, NC 28075-7503 Ph: (980) 326-1800

Reviews and Comments

Physical Therapist in Harrisburg, NC

Mr. Francis Howard Adams Iii, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4417 Britley Ln, Harrisburg, NC 28075 Phone: 704-531-6572
Kristin Taylor, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3835 Grovesner St, Harrisburg, NC 28075 Phone: 704-649-3105 Fax: 877-260-9741
Mrs. Daniela Lisel Beauvais, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6050 Roberta Rd, Harrisburg, NC 28075 Phone: 704-241-1014 Fax: 980-258-8338
Benchmark Physical Therapy Of Nc, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4275 School House Cmns, Harrisburg, NC 28075 Phone: 980-326-1800 Fax: 980-474-4935
Leslie A Weatherhead, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6604 Roberta Rd, Harrisburg, NC 28075 Phone: 704-455-1172 Fax: 704-440-0166
Mr. Dean S Volk, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6604 Roberta Rd, Harrisburg, NC 28075 Phone: 704-455-1172 Fax: 704-440-0166

Theodore William Homol Iii, PT, DPT - Medicare Physical Therapist in Harrisburg, NC