Mr Mark Anthony De Anda, PT is a medicare enrolled "Physical Therapist" physician in San Antonio, Texas. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Optimum Physio and his current practice location is
2322 San Pedro Ave, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 314-6725.
Mr Mark Anthony De Anda is licensed to practice in Texas (license number 1170429) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1891882270.
Physician's Profile
| Full Name | Mr Mark Anthony De Anda |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 18 Years |
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| Location | 2322 San Pedro Ave, San Antonio, Texas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Mark Anthony De Anda graduated from medical school in 2006
NPI Data:
- NPI Number: 1891882270
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 02/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557369188
- Enrollment ID: I20061115000202
Medical Identifiers
Medical identifiers for Mr Mark Anthony De Anda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891882270 | NPI | - | NPPES |
| 308673802 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 1170429 (Texas) | Secondary |
| 225100000X | Physical Therapist | 1170429 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Optimum Physio | 5496973547 | 2 |
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 Mark Anthony De Anda allows following entities to bill medicare on his behalf.
| Entity Name | Optimum Physio |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1609294040
PECOS PAC ID: 5496973547
Enrollment ID: O20140902001901 |
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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. Mr Mark Anthony De Anda 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 Mark Anthony De Anda, PT
2322 San Pedro Ave,
San Antonio, TX 78212-3237
Ph: (210) 314-6725 | Mr Mark Anthony De Anda, PT
2322 San Pedro Ave,
San Antonio, TX 78212
Ph: (210) 314-6725 |
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