Mr Marciano Funtila Mondala, in Champaign, IL - Medicare Physical Therapist Provider

Mr Marciano Funtila Mondala, is a medicare enrolled "Physical Therapist" provider in Champaign, Illinois. His current practice location is 3207 Edward Hoffman Dr, Champaign, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 356-8623.

Mr Marciano Funtila Mondala is licensed to practice in Illinois (license number 070013083) 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 1144496928.

Contact Information

	Mr Marciano Funtila Mondala,
	3207 Edward Hoffman Dr, Champaign, IL 61822-8018
	(217) 356-8623
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Marciano Funtila Mondala
Gender	Male
Speciality	Physical Therapist
Location	3207 Edward Hoffman Dr, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144496928
Provider Enumeration Date: 05/01/2008
Last Update Date: 05/01/2008

Medicare PECOS Information:

PECOS PAC ID: 7719010156
Enrollment ID: I20221223000323

Medical Identifiers

Medical identifiers for Mr Marciano Funtila Mondala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144496928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070013083 (Illinois)	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 Marciano Funtila Mondala allows following entities to bill medicare on his behalf.

Provider Name	Comprehensive Therapeutics Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663

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 Marciano Funtila Mondala 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 Marciano Funtila Mondala, 1001 E Pells St, Paxton, IL 60957-1300 Ph: (217) 379-4361	Mr Marciano Funtila Mondala, 3207 Edward Hoffman Dr, Champaign, IL 61822-8018 Ph: (217) 356-8623

Reviews and Comments

Physical Therapist in Champaign, IL

Mrs. Angela J Cusick, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3101 Fields South Dr, Champaign, IL 61822 Phone: 217-366-1323
Jasmine A Evans, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1323
Keith A Sternhagen, PT, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-356-6543 Fax: 217-356-8010
Benjamin Kim, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-398-9800 Fax: 217-366-0036
Whitney A Walker, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2403 Village Green Pl, Champaign, IL 61822 Phone: 217-359-4549 Fax: 217-359-4620
Mateusz Wesolowski, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 602 S Neil St, Champaign, IL 61820 Phone: 217-649-0504 Fax: 217-253-8511
Nidhi P Patel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2112 Emerald Dr, Champaign, IL 61822 Phone: 240-755-3873

Mr Marciano Funtila Mondala, - Medicare Physical Therapist in Champaign, IL