Mr Carlos Villaverde Avilla, MSPT in Medford, NY - Medicare Physical Therapist Provider

Mr Carlos Villaverde Avilla, MSPT is a medicare enrolled "Physical Therapist - Pediatrics" provider in Medford, New York. His current practice location is 5 Camden Ct, Medford, New York. You can reach out to his office (for appointments etc.) via phone at (631) 736-4334.

Mr Carlos Villaverde Avilla is licensed to practice in New York (license number 023135-1) 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 1134374226.

Contact Information

	Mr Carlos Villaverde Avilla, MSPT
	5 Camden Ct, Medford, NY 11763-1583
	(631) 736-4334
	(631) 736-4333

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Carlos Villaverde Avilla
Gender	Male
Speciality	Physical Therapist - Pediatrics
Location	5 Camden Ct, Medford, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134374226
Provider Enumeration Date: 11/18/2008
Last Update Date: 11/18/2008

Medicare PECOS Information:

PECOS PAC ID: 7810359791
Enrollment ID: I20230809000990

Medical Identifiers

Medical identifiers for Mr Carlos Villaverde Avilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134374226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251P0200X	Physical Therapist - Pediatrics	023135-1 (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. 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 Carlos Villaverde Avilla allows following entities to bill medicare on his behalf.

Provider Name	Home Advantage Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134454119 PECOS PAC ID: 5698818110 Enrollment ID: O20100205000594

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 Carlos Villaverde Avilla 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 Carlos Villaverde Avilla, MSPT 5 Camden Ct, Medford, NY 11763-1583 Ph: (631) 736-4334	Mr Carlos Villaverde Avilla, MSPT 5 Camden Ct, Medford, NY 11763-1583 Ph: (631) 736-4334

Reviews and Comments

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Mr Carlos Villaverde Avilla, MSPT - Medicare Physical Therapist in Medford, NY