Charles Roque, PT in Commerce, CA - Medicare Physical Therapist Provider

Charles Roque, PT is a medicare enrolled "Physical Therapist" provider in Commerce, California. His current practice location is 5211 E Washington Blvd, Ste 18, Commerce, California. You can reach out to his office (for appointments etc.) via phone at (323) 980-9825.

Charles Roque is licensed to practice in California (license number PT24193) 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 1164746871.

Contact Information

	Charles Roque, PT
	5211 E Washington Blvd, Ste 18, Commerce, CA 90040-3959
	(323) 980-9825
	(323) 980-9898

Map and Direction

Healthcare Provider's Profile

Full Name	Charles Roque
Gender	Male
Speciality	Physical Therapist
Location	5211 E Washington Blvd, Commerce, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164746871
Provider Enumeration Date: 03/24/2010
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 6406987270
Enrollment ID: I20100623000840

Medical Identifiers

Medical identifiers for Charles Roque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164746871	NPI	-	NPPES
PT24193	Other	CA	PHYSICAL THERAPY BOARD OF CALIFORNIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT24193 (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. Charles Roque allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Charles Roque 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
Charles Roque, PT 5211 E Washington Blvd, Ste 18, Commerce, CA 90040-3959 Ph: (323) 980-9825	Charles Roque, PT 5211 E Washington Blvd, Ste 18, Commerce, CA 90040-3959 Ph: (323) 980-9825

Reviews and Comments

Physical Therapist in Commerce, CA

Jerry Lay Tan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5211 E Washington Blvd, Ste 18, Commerce, CA 90040 Phone: 323-980-9825 Fax: 323-980-9898
Ms. Carmen Alicia Rojas, R.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6538 Telegraph Rd, Commerce, CA 90040 Phone: 323-726-3212 Fax: 323-726-0942
Rosemarie Doria Torio, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 5211 E Washington Blvd, Ste 18, Commerce, CA 90040 Phone: 323-980-9825 Fax: 323-980-9898
Jasmine Mariscal, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2546 Kurt Ave, Commerce, CA 90040 Phone: 323-537-3140
Curtis Yamate, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3430 Garfield Ave, Commerce, CA 90040 Phone: 323-722-8481
Wai Wong, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2040 Camfield Ave, Commerce, CA 90040 Phone: 323-725-8751

Charles Roque, PT - Medicare Physical Therapist in Commerce, CA