Thomas Ellis, DPT in Dyersburg, TN - Medicare Physical Therapist Provider

Thomas Ellis, DPT is a medicare enrolled "Physical Therapist" provider in Dyersburg, Tennessee. His current practice location is 2035 Saint John Ave Ste 2, Dyersburg, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 325-5515.

Thomas Ellis is licensed to practice in Tennessee (license number 14155) 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 1609514330.

Contact Information

	Thomas Ellis, DPT
	2035 Saint John Ave Ste 2, Dyersburg, TN 38024-2247
	(731) 325-5515
	(731) 325-5517

Map and Direction

Healthcare Provider's Profile

Full Name	Thomas Ellis
Gender	Male
Speciality	Physical Therapist
Location	2035 Saint John Ave Ste 2, Dyersburg, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609514330
Provider Enumeration Date: 05/23/2022
Last Update Date: 06/02/2022

Medicare PECOS Information:

PECOS PAC ID: 0042691370
Enrollment ID: I20240429000881

Medical Identifiers

Medical identifiers for Thomas Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609514330	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	14155 (Tennessee)	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. Thomas Ellis allows following entities to bill medicare on his behalf.

Provider Name	Star Physical Therapy Lp
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1073375861 PECOS PAC ID: 5496662421 Enrollment ID: O20240429000788

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. Thomas Ellis 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
Thomas Ellis, DPT Po Box 681478, Franklin, TN 37068-1478 Ph: (615) 591-6590	Thomas Ellis, DPT 2035 Saint John Ave Ste 2, Dyersburg, TN 38024-2247 Ph: (731) 325-5515

Reviews and Comments

Physical Therapist in Dyersburg, TN

Andrea Castellaw, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2035 Saint John Ave Ste 2, Dyersburg, TN 38024 Phone: 731-325-5515 Fax: 731-325-5517
Drake Parker, Physical Therapist Medicare: Medicare Enrolled Practice Location: 470 Mall Blvd, Dyersburg, TN 38024 Phone: 731-259-9995
Laura N Boals, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2265 Parr Ave, Dyersburg, TN 38024 Phone: 731-285-6600 Fax: 731-285-8005
Whitney Greene, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 Us Highway 51 Byp W, Dyersburg, TN 38024 Phone: 731-285-5552
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 Lake Rd, Dyersburg, TN 38024 Phone: 479-201-6091
Amy W Staggs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Woodlawn Ave, Dyersburg, TN 38024 Phone: 731-286-1115 Fax: 731-286-0998
Denise Doughty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 Mall Blvd Ste D, Dyersburg, TN 38024 Phone: 901-287-9710

Thomas Ellis, DPT - Medicare Physical Therapist in Dyersburg, TN