Dr Aniekan Nwabuebo, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" provider in San Carlos, California. Her current practice location is
301 Industrial Rd, San Carlos, California. You can reach out to her office (for appointments etc.) via phone at
(650) 632-0816.
Dr Aniekan Nwabuebo is licensed to practice in California (license number PT296532) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336355940.
Healthcare Provider's Profile
| Full Name | Dr Aniekan Nwabuebo |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 301 Industrial Rd, San Carlos, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336355940
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 12/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426131202
- Enrollment ID: I20221220000323
Medical Identifiers
Medical identifiers for Dr Aniekan Nwabuebo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336355940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 40QA01220100 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | 2305204026 (Virginia) | Secondary |
| 225100000X | Physical Therapist | 028228-1 (New York) | Secondary |
| 225100000X | Physical Therapist | 21470 (Maryland) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | 2305204026 (Virginia) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | PT296532 (California) | 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. Dr Aniekan Nwabuebo allows following entities to bill medicare on her behalf.
| Provider Name | Pennsylvania Luna Care Physical Therapy Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1528689445
PECOS PAC ID: 7012338973
Enrollment ID: O20200601001529 |
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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. Dr Aniekan Nwabuebo 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 |
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Dr Aniekan Nwabuebo, DPT
18292 St Georges Ct,
Leesburg, VA 20176-7421
Ph: (703) 209-3359 | Dr Aniekan Nwabuebo, DPT
301 Industrial Rd,
San Carlos, CA 94070-2603
Ph: (650) 632-0816 |
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