Carlo Quintanilla, DPT is a medicare enrolled "Physical Therapist" provider in Kingston Springs, Tennessee. His current practice location is
111 W Kingston Springs Rd Ste 102, Kingston Springs, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 412-1131.
Carlo Quintanilla is licensed to practice in Tennessee (license number 14981) 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 1891472379.
Healthcare Provider's Profile
| Full Name | Carlo Quintanilla |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 111 W Kingston Springs Rd Ste 102, Kingston Springs, Tennessee |
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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: 1891472379
- Provider Enumeration Date: 06/28/2023
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668836131
- Enrollment ID: I20230917000010
Medical Identifiers
Medical identifiers for Carlo Quintanilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891472379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 14981 (Tennessee) | 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. Carlo Quintanilla allows following entities to bill medicare on his behalf.
| Provider Name | Results-ast Jv Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780291948
PECOS PAC ID: 4486066396
Enrollment ID: O20201217003061 |
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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. Carlo Quintanilla 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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Carlo Quintanilla, DPT
1200 Corporate Dr Ste 400,
Hoover, AL 35242-5424
Ph: () - | Carlo Quintanilla, DPT
111 W Kingston Springs Rd Ste 102,
Kingston Springs, TN 37082-9121
Ph: (615) 412-1131 |
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