Mr Benjamin Nabong, RPT in Van Nuys, CA - Medicare Physical Therapist Provider

Mr Benjamin Nabong, RPT is a medicare enrolled "Physical Therapist" provider in Van Nuys, California. His current practice location is 15211 Vanowen St, Suite 105, Van Nuys, California. You can reach out to his office (for appointments etc.) via phone at (818) 997-7711.

Mr Benjamin Nabong is licensed to practice in California (license number PT30066) 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 1417039405.

Contact Information

	Mr Benjamin Nabong, RPT
	15211 Vanowen St, Suite 105, Van Nuys, CA 91405-3606
	(818) 997-7711
	(818) 997-3744

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Benjamin Nabong
Gender	Male
Speciality	Physical Therapist
Location	15211 Vanowen St, Van Nuys, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417039405
Provider Enumeration Date: 10/19/2006
Last Update Date: 06/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2961457288
Enrollment ID: I20050321000513

Medical Identifiers

Medical identifiers for Mr Benjamin Nabong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417039405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT30066 (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. Mr Benjamin Nabong allows following entities to bill medicare on his behalf.

Provider Name	Paraclete 38 Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1558055921 PECOS PAC ID: 4385008671 Enrollment ID: O20230920000992

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. Mr Benjamin Nabong 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
Mr Benjamin Nabong, RPT 15211 Vanowen St, Suite 105, Van Nuys, CA 91405-3606 Ph: (818) 997-7711	Mr Benjamin Nabong, RPT 15211 Vanowen St, Suite 105, Van Nuys, CA 91405-3606 Ph: (818) 997-7711

Reviews and Comments

Physical Therapist in Van Nuys, CA

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Ethel Roman Lucero, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14624 Sherman Way, 201, Van Nuys, CA 91405 Phone: 818-988-8410 Fax: 818-988-8409
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Mr Benjamin Nabong, RPT - Medicare Physical Therapist in Van Nuys, CA