Buenaventura Gaviola Agraviador Iii, PTLA in Northridge, CA

Buenaventura Gaviola Agraviador Iii, PTLA is a medicare enrolled "Physical Therapist" provider in Northridge, California. His current practice location is 18709 Frankfort St, Northridge, California. You can reach out to his office (for appointments etc.) via phone at (818) 358-9992.

Buenaventura Gaviola Agraviador Iii is licensed to practice in California (license number PTLA) 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 1366116170.

Contact Information

	Buenaventura Gaviola Agraviador Iii, PTLA
	18709 Frankfort St, Northridge, CA 91324-4523
	(818) 358-9992
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Buenaventura Gaviola Agraviador Iii
Gender	Male
Speciality	Physical Therapist
Location	18709 Frankfort St, Northridge, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366116170
Provider Enumeration Date: 08/04/2021
Last Update Date: 08/04/2023

Medicare PECOS Information:

PECOS PAC ID: 7315477239
Enrollment ID: I20250207000766

Medical Identifiers

Medical identifiers for Buenaventura Gaviola Agraviador Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366116170	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTLA (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. Buenaventura Gaviola Agraviador Iii allows following entities to bill medicare on his behalf.

Provider Name	S.a.c. Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063939429 PECOS PAC ID: 8123385317 Enrollment ID: O20171124000165

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. Buenaventura Gaviola Agraviador Iii 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
Buenaventura Gaviola Agraviador Iii, PTLA 18709 Frankfort St, Northridge, CA 91324-4523 Ph: (818) 358-9992	Buenaventura Gaviola Agraviador Iii, PTLA 18709 Frankfort St, Northridge, CA 91324-4523 Ph: (818) 358-9992

Reviews and Comments

Physical Therapist in Northridge, CA

Bernadette Luz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18901 Braemore Rd, Northridge, CA 91326 Phone: 818-800-0124 Fax: 818-337-7165
Ryan Ritthamel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11225 Tampa Ave, Northridge, CA 91326 Phone: 818-363-9970 Fax: 818-363-9980
Rommel Herrera Pasco, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17650 Devonshire St, Northridge, CA 91325 Phone: 818-886-1616 Fax: 818-831-8680
Philip Nathan Jacobson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9545 Reseda Blvd Ste 4, Northridge, CA 91324 Phone: 818-886-2005
Adient Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 11260 Wilbur Ave, # 101, Northridge, CA 91326 Phone: 818-832-5656 Fax: 818-832-5654
Ringo Santiago, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8558 Tunney Ave, Northridge, CA 91324 Phone: 213-271-5184
Dr. Aimie Fitzgerald Kachingwe, PT, EDD, OCS,FAAOMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18111 Nordhoff St, Northridge, CA 91330 Phone: 818-677-2203

Buenaventura Gaviola Agraviador Iii, PTLA - Medicare Physical Therapist in Northridge, CA