Blake Jordan Falconello, DPT - Medicare Physical Therapist in Olive Branch, MS

Blake Jordan Falconello, DPT is a medicare enrolled "Physical Therapist" provider in Olive Branch, Mississippi. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Huling Physical Therapy Llc and his current practice location is 6542 Goodman Rd Ste 101, Olive Branch, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 874-5964.

Blake Jordan Falconello is licensed to practice in Tennessee (license number 13705) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104593599.

Contact Information

Blake Jordan Falconello, DPT
6542 Goodman Rd Ste 101,
Olive Branch, MS 38654-5559
(662) 874-5964
(662) 874-5176



Healthcare Provider's Profile

Full NameBlake Jordan Falconello
GenderMale
SpecialityPhysical Therapy
Experience3 Years
Location6542 Goodman Rd Ste 101, Olive Branch, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blake Jordan Falconello graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1104593599
  • Provider Enumeration Date: 08/24/2021
  • Last Update Date: 02/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092112078
  • Enrollment ID: I20220131000307

Medical Identifiers

Medical identifiers for Blake Jordan Falconello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104593599NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 13705 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Huling Physical Therapy Llc05476339432

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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. Blake Jordan Falconello allows following entities to bill medicare on his behalf.
Provider NameExos Physical Therapy And Sports Medicine, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1053825943
PECOS PAC ID: 3072872738
Enrollment ID: O20180320001198

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Provider NameHuling Physical Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1700598349
PECOS PAC ID: 0547633943
Enrollment ID: O20230306002561

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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. Blake Jordan Falconello 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 AddressPractice Location Address
Blake Jordan Falconello, DPT
6542 Goodman Rd Ste 101,
Olive Branch, MS 38654-5559

Ph: (662) 874-5964
Blake Jordan Falconello, DPT
6542 Goodman Rd Ste 101,
Olive Branch, MS 38654-5559

Ph: (662) 874-5964

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Physical Therapist in Olive Branch, MS

Nicholas Bailey,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654
Phone: 662-893-1933    Fax: 662-893-1934
Tina Marie Erber, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4780 Medora Dr, Olive Branch, MS 38654
Phone: 662-895-1891    
Exos Physical Therapy & Sports Medicine, Llc
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654
Phone: 205-259-3991    
Joshua Mark Day, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654
Phone: 662-893-1933    Fax: 662-893-1934
Tarah L Rudd, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4578 Pleasant Breeze Dr, Olive Branch, MS 38654
Phone: 901-268-9759    
Holly Johnson, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2268 Ross Rd, Olive Branch, MS 38654
Phone: 662-808-2680    Fax: 662-895-0566

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