Derrick Christopher Penticuff, - Medicare Physical Therapist in Pueblo, CO

Derrick Christopher Penticuff, is a medicare enrolled "Physical Therapist" provider in Pueblo, Colorado. His current practice location is 4115 Club Manor Dr, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (968) 568-9790.

Derrick Christopher Penticuff is licensed to practice in * (Not Available) (license number ) 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 1770107179.

Contact Information

Derrick Christopher Penticuff,
4115 Club Manor Dr,
Pueblo, CO 81008
(968) 568-9790
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDerrick Christopher Penticuff
GenderMale
SpecialityPhysical Therapist
Location4115 Club Manor Dr, Pueblo, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770107179
  • Provider Enumeration Date: 06/01/2020
  • Last Update Date: 04/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496133514
  • Enrollment ID: I20220602000084

Medical Identifiers

Medical identifiers for Derrick Christopher Penticuff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770107179NPI-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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Derrick Christopher Penticuff allows following entities to bill medicare on his behalf.
Provider NameSynergy Physical Therapy And Wellness
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1437572583
PECOS PAC ID: 5991920001
Enrollment ID: O20140703001634

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. Derrick Christopher Penticuff 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
Derrick Christopher Penticuff,
4115 Club Manor Dr.,
Pueblo, CO 81008

Ph: (417) 709-5228
Derrick Christopher Penticuff,
4115 Club Manor Dr,
Pueblo, CO 81008

Ph: (968) 568-9790

Reviews and Comments


Physical Therapist in Pueblo, CO

Karen Bishop, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 4112 Outlook Blvd, Ste 96, Pueblo, CO 81008
Phone: 719-266-1788    Fax: 719-776-4700
Michelle Perse, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4115 Club Manor Drive, Pueblo, CO 81008
Phone: 719-568-9790    
Dane M Farnworth, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3525 Spaulding Ave, Pueblo, CO 81008
Phone: 719-542-4444    Fax: 719-543-1990
Cydne Rossi,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1275 W Pueblo Blvd, Pueblo, CO 81004
Phone: 719-542-0589    
Todd S Chilson, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 387 E Enterprise Dr Ste 160, Pueblo, CO 81007
Phone: 719-924-8912    Fax: 719-696-9115
Mary Margaret Whelan Leffert, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1209 Paseo Del Norte Ste 3, Pueblo, CO 81008
Phone: 719-569-5691    Fax: 719-569-5689
Shannon A Egan, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1275 W Pueblo Blvd, Pueblo, CO 81004
Phone: 719-542-0589    Fax: 719-542-0119

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.