Ms Kristen Dacunza, DPT is a medicare enrolled "Physical Therapist" provider in Cliffwood, New Jersey. Her current practice location is
400 Matawan Ave Apt 145d, Cliffwood, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 503-1464.
Ms Kristen Dacunza is licensed to practice in New Jersey (license number 40QA02090000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164247581.
Healthcare Provider's Profile
| Full Name | Ms Kristen Dacunza |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 400 Matawan Ave Apt 145d, Cliffwood, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164247581
- Provider Enumeration Date: 11/20/2024
- Last Update Date: 11/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375070717
- Enrollment ID: I20250102003787
Medical Identifiers
Medical identifiers for Ms Kristen Dacunza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164247581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 40QA02090000 (New Jersey) | 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. Ms Kristen Dacunza allows following entities to bill medicare on her behalf.
| Provider Name | Therastart Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063849867
PECOS PAC ID: 7719115831
Enrollment ID: O20140118000283 |
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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. Ms Kristen Dacunza 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 |
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Ms Kristen Dacunza, DPT
400 Matawan Ave Apt 145d,
Cliffwood, NJ 07721-3015
Ph: (732) 503-1464 | Ms Kristen Dacunza, DPT
400 Matawan Ave Apt 145d,
Cliffwood, NJ 07721-3015
Ph: (732) 503-1464 |
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