Dr Kesena Eroraha, DPT in Laurel, MD - Medicare Physical Therapist Provider

Dr Kesena Eroraha, DPT is a medicare enrolled "Physical Therapist" provider in Laurel, Maryland. His current practice location is 12901 River Oak Pl, Laurel, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 305-1290.

Dr Kesena Eroraha is licensed to practice in Virginia (license number 2305209571) 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 1407230154.

Contact Information

	Dr Kesena Eroraha, DPT
	12901 River Oak Pl, Laurel, MD 20708-2349
	(240) 305-1290
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kesena Eroraha
Gender	Male
Speciality	Physical Therapist
Location	12901 River Oak Pl, Laurel, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407230154
Provider Enumeration Date: 07/13/2015
Last Update Date: 10/26/2021

Medicare PECOS Information:

PECOS PAC ID: 6608207279
Enrollment ID: I20200514002064

Medical Identifiers

Medical identifiers for Dr Kesena Eroraha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407230154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305209571 (Virginia)	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 Kesena Eroraha allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Kesena Eroraha 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
Dr Kesena Eroraha, DPT 393 E Walnut St, Fl 3, Pasadena, CA 91188-0001 Ph: (240) 305-1290	Dr Kesena Eroraha, DPT 12901 River Oak Pl, Laurel, MD 20708-2349 Ph: (240) 305-1290

Reviews and Comments

Physical Therapist in Laurel, MD

Kristina Ling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14409 Greenview Dr Ste 102, Laurel, MD 20708 Phone: 301-498-8100 Fax: 301-498-0009
Yasaman Razavi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13946 Baltimore Ave, Laurel, MD 20707 Phone: 301-498-2212 Fax: 301-446-1647
Susan Kruger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14409 Greenview Dr Ste 102, Laurel, MD 20708 Phone: 301-498-8100
Ms. Michele Jacqueline Epps, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14502 Greenview Dr, St. 406, Laurel, MD 20708 Phone: 301-362-0114
Leslie Goddard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14409 Greenview Dr, Suite 102, Laurel, MD 20708 Phone: 301-498-8100 Fax: 301-498-0009
United Physical Therapy Associates Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7634 N Arbory Way, Laurel, MD 20707 Phone: 301-919-4386
Ms. Maria Laura Soto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14200 Laurel Park Dr, Laurel, MD 20707 Phone: 410-724-3423

Dr Kesena Eroraha, DPT - Medicare Physical Therapist in Laurel, MD