Andivi Manzano, PT, DPT in Granada Hills, CA - Medicare Physical Therapist Provider

Andivi Manzano, PT, DPT is a medicare enrolled "Physical Therapist" provider in Granada Hills, California. Her current practice location is 10515 Balboa Blvd Ste 140, Granada Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 363-0339.

Andivi Manzano is licensed to practice in California (license number 303204) 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 1285342998.

Contact Information

	Andivi Manzano, PT, DPT
	10515 Balboa Blvd Ste 140, Granada Hills, CA 91344-6350
	(818) 363-0339
	(818) 363-0039

Map and Direction

Healthcare Provider's Profile

Full Name	Andivi Manzano
Gender	Female
Speciality	Physical Therapist
Location	10515 Balboa Blvd Ste 140, Granada Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285342998
Provider Enumeration Date: 11/10/2022
Last Update Date: 09/22/2023

Medicare PECOS Information:

PECOS PAC ID: 1557729498
Enrollment ID: I20230623003053

Medical Identifiers

Medical identifiers for Andivi Manzano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285342998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	303204 (California)	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. Andivi Manzano allows following entities to bill medicare on her behalf.

Provider Name	Simone M Kelman
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1801938113 PECOS PAC ID: 9931398013 Enrollment ID: I20110325000809

Provider Name	California Luna Care Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123

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. Andivi Manzano 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
Andivi Manzano, PT, DPT 10515 Balboa Blvd Ste 140, Granada Hills, CA 91344-6350 Ph: (818) 363-0339	Andivi Manzano, PT, DPT 10515 Balboa Blvd Ste 140, Granada Hills, CA 91344-6350 Ph: (818) 363-0339

Reviews and Comments

Physical Therapist in Granada Hills, CA

Colleen Ann Duran, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15915 Devonshire St, Granada Hills, CA 91344 Phone: 717-826-2826
Jordan Wilhelm, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10725 Zelzah Ave Unit B, Granada Hills, CA 91344 Phone: 818-832-8383
Mari Iyama, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10725 Zelzah Ave Ste B, Granada Hills, CA 91344 Phone: 818-832-8383
Evan Filice, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10725 Zelzah Ave Ste B, Granada Hills, CA 91344 Phone: 818-832-8383
Andrei Carballo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10725 Zelzah Ave Ste B, Granada Hills, CA 91344 Phone: 818-832-8383
Mr. Kirk Maroy Briggs, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd, Suite 330, Granada Hills, CA 91344 Phone: 818-832-7298 Fax: 818-832-7249
Lorrinne Pinlac, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15912 Harvest St, Granada Hills, CA 91344 Phone: 818-636-2260

Andivi Manzano, PT, DPT - Medicare Physical Therapist in Granada Hills, CA