John Tyler Goodpasture, PT, DPT - Medicare Physical Therapist in Russellville, AR

John Tyler Goodpasture, PT, DPT is a medicare enrolled "Physical Therapist" provider in Russellville, Arkansas. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice River Valley Therapy And Sports Medicine Inc and his current practice location is 2100 W Main St, Russellville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 968-2525.

John Tyler Goodpasture is licensed to practice in Arkansas (license number PT4710) 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 1174171607.

Contact Information

John Tyler Goodpasture, PT, DPT
2100 W Main St,
Russellville, AR 72801-2758
(479) 968-2525
(479) 968-2538



Healthcare Provider's Profile

Full NameJohn Tyler Goodpasture
GenderMale
SpecialityPhysical Therapy
Experience5 Years
Location2100 W Main St, 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:
  • John Tyler Goodpasture graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1174171607
  • Provider Enumeration Date: 08/28/2019
  • Last Update Date: 08/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9234460528
  • Enrollment ID: I20191017002464

Medical Identifiers

Medical identifiers for John Tyler Goodpasture such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174171607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT4710 (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
River Valley Therapy And Sports Medicine Inc185029401820

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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. John Tyler Goodpasture allows following entities to bill medicare on his behalf.
Provider NameRiver Valley Therapy & Sports Medicine Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1619925732
PECOS PAC ID: 1850294018
Enrollment ID: O20040127001051

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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. John Tyler Goodpasture 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
John Tyler Goodpasture, PT, DPT
2100 W Main St,
Russellville, AR 72801-2758

Ph: (479) 968-2525
John Tyler Goodpasture, PT, DPT
2100 W Main St,
Russellville, AR 72801-2758

Ph: (479) 968-2525

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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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