Clint Allen Bacchus, PT, DPT - Medicare Physical Therapist in Russellville, AR

Clint Allen Bacchus, PT, DPT is a medicare enrolled "Physical Therapist" provider in Russellville, Arkansas. He went to University Of Texas Medical Branch At Galveston and graduated in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice 3d Physical Therapy And Sports Medicine, Llc and his current practice location is 115 Skyline Drive, Suite A, Russellville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 967-5155.

Clint Allen Bacchus is licensed to practice in Arkansas (license number 4282) 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 1053840447.

Contact Information

Clint Allen Bacchus, PT, DPT
115 Skyline Drive, Suite A,
Russellville, AR 72802-3310
(479) 967-5155
(479) 967-5141



Healthcare Provider's Profile

Full NameClint Allen Bacchus
GenderMale
SpecialityPhysical Therapy
Experience7 Years
Location115 Skyline Drive, Russellville, Arkansas
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:
  • Clint Allen Bacchus attended and graduated from University Of Texas Medical Branch At Galveston in 2017
  NPI Data:
  • NPI Number: 1053840447
  • Provider Enumeration Date: 06/08/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072872530
  • Enrollment ID: I20180110000188

Medical Identifiers

Medical identifiers for Clint Allen Bacchus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053840447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 4282 (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
3d Physical Therapy And Sports Medicine, Llc21637816263

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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. Clint Allen Bacchus allows following entities to bill medicare on his behalf.
Provider Name3d Physical Therapy And Sports Medicine, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1992216642
PECOS PAC ID: 2163781626
Enrollment ID: O20180109002804

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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. Clint Allen Bacchus 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
Clint Allen Bacchus, PT, DPT
115 Skyline Dr Ste A,
Russellville, AR 72802-3310

Ph: (479) 967-5155
Clint Allen Bacchus, PT, DPT
115 Skyline Drive, Suite A,
Russellville, AR 72802-3310

Ph: (479) 967-5155

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Physical Therapist in Russellville, AR

Seth B. Coulter, P.T.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 115 Skyline Dr, Suite A, Russellville, AR 72802
Phone: 479-967-5155    Fax: 479-967-5141
Ms. Brandi Nicole Koch, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Russell Rd, Russellville, AR 72802
Phone: 479-967-2316    Fax: 479-967-3639
Jacqueline Miller, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 500 E 3rd St, Russellville, AR 72801
Phone: 479-968-1198    Fax: 479-967-1178
Nicholas Paul Lensing, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 301 N Sidney Ave, Russellville, AR 72801
Phone: 479-890-5494    Fax: 479-967-0069
Mr. Jerry Wayne Manning, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3016 W Main St Ste 200, Russellville, AR 72801
Phone: 479-967-9657    Fax: 479-967-9658
Kimberly D Mcdougal, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 301 Reasoner Ln, Russellville, AR 72802
Phone: 479-970-2175    Fax: 479-964-2126
Allison Young, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 500 E 3rd St, Russellville, AR 72801
Phone: 479-968-1198    

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