Daryl Fajardo, in Huber Heights, OH - Medicare Physical Therapist Provider

Daryl Fajardo, is a medicare enrolled "Physical Therapist" provider in Huber Heights, Ohio. His current practice location is 7819 Waynetowne Blvd, Huber Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 938-1583.

Daryl Fajardo is licensed to practice in Ohio (license number CP025952T) 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 1245003706.

Contact Information

	Daryl Fajardo,
	7819 Waynetowne Blvd, Huber Heights, OH 45424-2063
	(937) 938-1583
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Daryl Fajardo
Gender	Male
Speciality	Physical Therapist
Location	7819 Waynetowne Blvd, Huber Heights, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245003706
Provider Enumeration Date: 11/06/2023
Last Update Date: 06/24/2024

Medicare PECOS Information:

PECOS PAC ID: 6103274675
Enrollment ID: I20231121002941

Medical Identifiers

Medical identifiers for Daryl Fajardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245003706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05014807A (Indiana)	Secondary
225100000X	Physical Therapist	CP032188T (Virginia)	Secondary
225100000X	Physical Therapist	CP025952T (Ohio)	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. Daryl Fajardo allows following entities to bill medicare on his behalf.

Provider Name	Beacon Orthopaedics & Sports Medicine Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386670065 PECOS PAC ID: 0345136412 Enrollment ID: O20040225000690

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. Daryl Fajardo 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
Daryl Fajardo, 16331 Fairfield Ln, Granger, IN 46530-9572 Ph: (269) 815-2419	Daryl Fajardo, 7819 Waynetowne Blvd, Huber Heights, OH 45424-2063 Ph: (937) 938-1583

Reviews and Comments

Physical Therapist in Huber Heights, OH

Kimberly Jean Ritter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8701 Old Troy Pike, Suite 220, Huber Heights, OH 45424 Phone: 937-558-3327
Elise L Hickernell, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8701 Troy Pike Ste 220, Huber Heights, OH 45424 Phone: 937-558-3338 Fax: 937-558-3327
John Paul Boyko, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6200 Bellefontaine Rd, Huber Heights, OH 45424 Phone: 937-204-3095
Peter King, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8412 Old Troy Pike, Huber Heights, OH 45424 Phone: 937-235-0068
Christine Cox, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8895 Emeraldgate Dr, Huber Heights, OH 45424 Phone: 937-237-6375
Erica Campbell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8412 Old Troy Pike, Huber Heights, OH 45424 Phone: 937-235-0068

Daryl Fajardo, - Medicare Physical Therapist in Huber Heights, OH