Nicholas Samuel Testa, PT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Bonita Springs, Florida. His current practice location is
3501 Health Center Blvd, Bonita Springs, Florida. You can reach out to his office (for appointments etc.) via phone at
(239) 949-6160.
Nicholas Samuel Testa is licensed to practice in Florida (license number PT28685) 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 1619388675.
Physician's Profile
| Full Name | Nicholas Samuel Testa |
|---|
| Gender | Male |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 3501 Health Center Blvd, Bonita Springs, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1619388675
- Provider Enumeration Date: 05/13/2014
- Last Update Date: 05/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 5799115291
- Enrollment ID: I20200424000892
Medical Identifiers
Medical identifiers for Nicholas Samuel Testa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619388675 | NPI | - | NPPES |
| PT28685 | Other | FL | LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PT28685 (Florida) | 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. Nicholas Samuel Testa allows following entities to bill medicare on his behalf.
| Entity Name | Florida Rehability At Home, Llc |
|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Entity Identifiers | NPI Number: 1932643780
PECOS PAC ID: 4183907280
Enrollment ID: O20170216000243 |
|---|
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. Nicholas Samuel Testa 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 |
|---|
Nicholas Samuel Testa, PT
3501 Health Center Blvd,
Bonita Springs, FL 34135-8127
Ph: (239) 949-6160 | Nicholas Samuel Testa, PT
3501 Health Center Blvd,
Bonita Springs, FL 34135-8127
Ph: (239) 949-6160 |
Reviews and Comments