Custom Care Rehab, Llc - Medicare Physical Therapist in Peninsula, OH

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Custom Care Rehab, Llc is a medicare enrolled "Physical Therapist" provider in Peninsula, Ohio. Their current practice location is 4175 Bellaire Ln, Peninsula, Ohio. You can reach out to their office (for appointments etc.) via phone at (330) 618-5703.

Custom Care Rehab, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Custom Care Rehab, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1619598778.

Contact Information

Custom Care Rehab, Llc
4175 Bellaire Ln,
Peninsula, OH 44264-9787
(330) 618-5703
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCustom Care Rehab, Llc
TypeFacility
SpecialityPhysical Therapist
Location4175 Bellaire Ln, Peninsula, Ohio
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619598778
  • Provider Enumeration Date: 04/29/2020
  • Last Update Date: 06/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3971927443
  • Enrollment ID: O20200717000347

Medical Identifiers

Medical identifiers for Custom Care Rehab, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619598778NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Custom Care Rehab, Llc acts as a billing entity for following providers:
Provider NameChristopher J Smolko
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215025564
PECOS PAC ID: 1052342201
Enrollment ID: I20050826000625
Provider NameAmy Mcmillin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881219780
PECOS PAC ID: 7416371984
Enrollment ID: I20200717000410
Provider NameShauna Mestnik
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417605627
PECOS PAC ID: 3577943869
Enrollment ID: I20220705000725
Provider NameMeghan E Fonce
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851978639
PECOS PAC ID: 6406238435
Enrollment ID: I20220808000476
Provider NameMichael A Awad
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669150074
PECOS PAC ID: 8628430550
Enrollment ID: I20230809003019
Provider NameMadeline Marie Lautt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629798988
PECOS PAC ID: 1052858891
Enrollment ID: I20240730001316
Provider NameAnna Ruth Gsellman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346080967
PECOS PAC ID: 1759821267
Enrollment ID: I20240911002278

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. Custom Care Rehab, Llc 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 AddressPractice Location Address
Custom Care Rehab, Llc
4175 Bellaire Ln,
Peninsula, OH 44264-9787

Ph: (330) 618-5703		Custom Care Rehab, Llc
4175 Bellaire Ln,
Peninsula, OH 44264-9787

Ph: (330) 618-5703

Reviews and Comments


Physical Therapist in Peninsula, OH

Mrs. Karen Kay Socias Speck I, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4557 Quick Rd, Peninsula, OH 44264
Phone: 330-923-7828    
Amy Mcmillin, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4175 Bellaire Ln, Peninsula, OH 44264
Phone: 234-303-1311    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.