Michael Joseph Conlon, PT is a medicare enrolled "Physical Therapist" physician in New York, New York. His current practice location is
119 W 23rd St, Suite 304, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 486-8573.
Michael Joseph Conlon is licensed to practice in New York (license number 018121-1) 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 1720021025.
Physician's Profile
Full Name | Michael Joseph Conlon |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 119 W 23rd St, New York, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720021025
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 05/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 1052374386
- Enrollment ID: I20041108001128
Medical Identifiers
Medical identifiers for Michael Joseph Conlon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720021025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 018121-1 (New York) | Secondary |
225100000X | Physical Therapist | 018121-1 (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. Michael Joseph Conlon allows following entities to bill medicare on his behalf.
Entity Name | Finish Line Physical Therapy Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093911646 PECOS PAC ID: 5991024820 Enrollment ID: O20150428000034 |
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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. Michael Joseph Conlon 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 |
Michael Joseph Conlon, PT 119 W 23rd St, Suite 304, New York, NY 10011-2427 Ph: (212) 486-8573 | Michael Joseph Conlon, PT 119 W 23rd St, Suite 304, New York, NY 10011-2427 Ph: (212) 486-8573 |
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