Lighthouse P.t., P.c. in Coram, NY - Medicare Physical Therapist Provider

Lighthouse P.t., P.c. is a medicare enrolled "Physical Therapist" provider in Coram, New York. Their current practice location is 2 Walton Way, Coram, New York. You can reach out to their office (for appointments etc.) via phone at (516) 808-4230.

Lighthouse P.t., P.c. is licensed to practice in New York (license number 015513) and it also participates in the medicare program. Lighthouse P.t., P.c. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1265718332.

Contact Information

	Lighthouse P.t., P.c.
	2 Walton Way, Coram, NY 11727-1001
	(516) 808-4230
	(631) 331-0320

Map and Direction

Healthcare Provider's Profile

Full Name	Lighthouse P.t., P.c.
Type	Facility
Speciality	Physical Therapist
Location	2 Walton Way, Coram, New York
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265718332
Provider Enumeration Date: 11/02/2011
Last Update Date: 11/02/2011

Medicare PECOS Information:

PECOS PAC ID: 6507024254
Enrollment ID: O20120227000315

Medical Identifiers

Medical identifiers for Lighthouse P.t., P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265718332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	015513 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lighthouse P.t., P.c. acts as a billing entity for following providers:

Provider Name	Jennifer Nicodemo-capra
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1609922145 PECOS PAC ID: 7517125164 Enrollment ID: I20120228000700

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. Lighthouse P.t., P.c. 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
Lighthouse P.t., P.c. 2 Walton Way, Coram, NY 11727-1001 Ph: (516) 808-4230	Lighthouse P.t., P.c. 2 Walton Way, Coram, NY 11727-1001 Ph: (516) 808-4230

Reviews and Comments

Physical Therapist in Coram, NY

Mrs. Amy W Maragioglio, PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Middle Country Road, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3908
James Cutreal Phillips, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900
Tyler Roden, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900
Island Sports Physical Therapy Of Coram Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 607 Middle Country Road, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3900
Susan Neel Gilleeny Behrens, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3908
Kathryn Laino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Wellsley Ln, Coram, NY 11727 Phone: 631-478-1885
John Joel Uy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22 Camp Fire Ln, Coram, NY 11727 Phone: 631-451-0225

Lighthouse P.t., P.c. - Medicare Physical Therapist in Coram, NY