Mr Jesubielin Custodio Peronilla, PT in Astoria, NY - Medicare Physical Medicine & Rehabilitation

Mr Jesubielin Custodio Peronilla, PT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Astoria, New York. His current practice location is 3808 23rd Ave Apt 1f, Astoria, New York. You can reach out to his office (for appointments etc.) via phone at (347) 350-1235.

Mr Jesubielin Custodio Peronilla is licensed to practice in New York (license number 050395) 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 1174338552.

Contact Information

	Mr Jesubielin Custodio Peronilla, PT
	3808 23rd Ave Apt 1f, Astoria, NY 11105-1963
	(347) 350-1235
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Jesubielin Custodio Peronilla
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	3808 23rd Ave Apt 1f, Astoria, 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: 1174338552
Provider Enumeration Date: 02/11/2025
Last Update Date: 02/11/2025

Medicare PECOS Information:

PECOS PAC ID: 7911425871
Enrollment ID: I20250515000874

Medical Identifiers

Medical identifiers for Mr Jesubielin Custodio Peronilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174338552	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	050395 (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 Jesubielin Custodio Peronilla allows following entities to bill medicare on his behalf.

Entity Name	Fresh Pond Physical Therapy Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508844036 PECOS PAC ID: 4486605342 Enrollment ID: O20050208000670

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 Jesubielin Custodio Peronilla 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 Jesubielin Custodio Peronilla, PT 3808 23rd Ave Apt 1f, Astoria, NY 11105-1963 Ph: (347) 350-1235	Mr Jesubielin Custodio Peronilla, PT 3808 23rd Ave Apt 1f, Astoria, NY 11105-1963 Ph: (347) 350-1235

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Astoria, NY

Charles Alan Kaplan, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3825 Astoria Blvd, Astoria, NY 11103 Phone: 718-274-7300
Dr. David R Adin, D.O. Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 2381 38th St, Astoria, NY 11105 Phone: 718-777-1790 Fax: 718-777-0339
Natalia Pertuzyustes, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3101 Vernon Blvd Apt 306, Astoria, NY 11106 Phone: 917-937-8368
David Zelefsky, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2818 31st St, Astoria, NY 11102 Phone: 917-880-6227 Fax: 718-956-7463
Louise Guenevere Escobal Correos, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2753 Crescent St Lowr Level, Astoria, NY 11102 Phone: 347-642-3043 Fax: 347-642-3044
Kioomars Moosazadeh, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2318 31st St, Suite 210, Astoria, NY 11105 Phone: 718-777-1885 Fax: 718-777-9613

Mr Jesubielin Custodio Peronilla, PT - Medicare Physical Medicine & Rehabilitation in Astoria, NY