Charissa Elazegui Culanag, PT in Tyler, TX - Medicare Physical Therapist Provider

Charissa Elazegui Culanag, PT is a medicare enrolled "Physical Therapist" provider in Tyler, Texas. Her current practice location is 5811 Persimmon Dr, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (432) 352-5900.

Charissa Elazegui Culanag is licensed to practice in Texas (license number 1210950) 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 1073054201.

Contact Information

	Charissa Elazegui Culanag, PT
	5811 Persimmon Dr, Tyler, TX 75707-2016
	(432) 352-5900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charissa Elazegui Culanag
Gender	Female
Speciality	Physical Therapist
Location	5811 Persimmon Dr, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073054201
Provider Enumeration Date: 03/20/2017
Last Update Date: 02/16/2023

Medicare PECOS Information:

PECOS PAC ID: 1355714965
Enrollment ID: I20230302000100

Medical Identifiers

Medical identifiers for Charissa Elazegui Culanag such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073054201	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1210950 (Texas)	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. Charissa Elazegui Culanag allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839

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. Charissa Elazegui Culanag 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
Charissa Elazegui Culanag, PT 5811 Persimmon Dr, Tyler, TX 75707-2016 Ph: (432) 352-5900	Charissa Elazegui Culanag, PT 5811 Persimmon Dr, Tyler, TX 75707-2016 Ph: (432) 352-5900

Reviews and Comments

Physical Therapist in Tyler, TX

Cynthia Ann Manes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 S Broadway Ave, 500, Tyler, TX 75702 Phone: 903-245-6632 Fax: 903-531-2451
Colette K Boyd, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2323 W Front St, Tyler, TX 75702 Phone: 903-597-1351 Fax: 903-535-7386
Mr. Terry Alan Bunker, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5407 New Copeland Rd, Suite 100, Tyler, TX 75703 Phone: 903-630-7204 Fax: 903-630-7205
Mark Roland Saczek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Olympic Plaza Cir, Tyler, TX 75701 Phone: 903-536-3123 Fax: 903-596-3122
Mr. Timothy A Lyke, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Olympic Plaza Cir, Tyler, TX 75701 Phone: 903-596-3151 Fax: 903-569-0110
Joanna Marie Chan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5811 Persimmon Dr, Tyler, TX 75707 Phone: 903-253-8318
Stormy Case, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-592-8001

Charissa Elazegui Culanag, PT - Medicare Physical Therapist in Tyler, TX