Miss Tao Wang, DPT, LAC is a medicare enrolled "Physical Therapist" provider in Glendale, California. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice California Luna Care Physical Therapy Pc and her current practice location is
1509 Wilson Ter, Glendale, California. You can reach out to her office (for appointments etc.) via phone at
(818) 409-8000.
Miss Tao Wang is licensed to practice in California (license number PT39391) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457601593.
Healthcare Provider's Profile
| Full Name | Miss Tao Wang |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 14 Years |
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| Location | 1509 Wilson Ter, Glendale, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Tao Wang graduated from medical school in 2012
NPI Data:
- NPI Number: 1457601593
- Provider Enumeration Date: 09/17/2012
- Last Update Date: 11/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739330457
- Enrollment ID: I20121106000325
Medical Identifiers
Medical identifiers for Miss Tao Wang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457601593 | NPI | - | NPPES |
| 19485 | Other | CA | ACUPUNCTURE LICENSE |
| PT39391 | Other | CA | PHYSICAL THERAPY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 19485 (California) | Secondary |
| 225100000X | Physical Therapist | PT39391 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| California Luna Care Physical Therapy Pc | 9638427834 | 769 |
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. Miss Tao Wang allows following entities to bill medicare on her behalf.
| Provider Name | California Luna Care Physical Therapy PC |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1689162166
PECOS PAC ID: 9638427834
Enrollment ID: O20180803002123 |
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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. Miss Tao Wang 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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Miss Tao Wang, DPT, LAC
305 San Marcos St Unit A,
San Gabriel, CA 91776-4354
Ph: Not Available | Miss Tao Wang, DPT, LAC
1509 Wilson Ter,
Glendale, CA 91206-4007
Ph: (818) 409-8000 |
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