Miss Taila Dane De Souza, DPT is a medicare enrolled "Physical Therapist" provider in Middle River, Maryland. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Groschan Physical Therapy Specialists Llc and her current practice location is
4062 Rustico Rd, Middle River, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 335-7898.
Miss Taila Dane De Souza is licensed to practice in Maryland (license number 24568) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780016303.
Healthcare Provider's Profile
| Full Name | Miss Taila Dane De Souza |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 12 Years |
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| Location | 4062 Rustico Rd, Middle River, Maryland |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Miss Taila Dane De Souza graduated from medical school in 2013
NPI Data:
- NPI Number: 1780016303
- Provider Enumeration Date: 08/06/2013
- Last Update Date: 08/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 5193949733
- Enrollment ID: I20140620001705
Medical Identifiers
Medical identifiers for Miss Taila Dane De Souza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780016303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 24568 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Groschan Physical Therapy Specialists Llc | 4587025077 | 7 |
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. Miss Taila Dane De Souza allows following entities to bill medicare on her behalf.
| Provider Name | Salus Capital Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1568859478 PECOS PAC ID: 6103131198 Enrollment ID: O20151008000415 |
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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. Miss Taila Dane De Souza 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 |
Miss Taila Dane De Souza, DPT 4062 Rustico Rd, Middle River, MD 21220-2342 Ph: (410) 335-7898 | Miss Taila Dane De Souza, DPT 4062 Rustico Rd, Middle River, MD 21220-2342 Ph: (410) 335-7898 |
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