Dr Devlin Alexander Dizacomo, DPT in Indio, CA - Medicare Physical Therapist In Private Practice Provider

Dr Devlin Alexander Dizacomo, DPT is a medicare enrolled "Physical Therapist" provider in Indio, California. He graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Intermountain Medical Group Denver, Llc, Colorado Luna Care Physical Therapy Llc and his current practice location is 81557 Dr Carreon Blvd Ste C4, Indio, California. You can reach out to his office (for appointments etc.) via phone at (760) 347-6195.

Dr Devlin Alexander Dizacomo is licensed to practice in California (license number PT304810) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023593902.

Contact Information

	Dr Devlin Alexander Dizacomo, DPT
	81557 Dr Carreon Blvd Ste C4, Indio, CA 92201-5562
	(760) 347-6195
	(760) 347-2849

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Devlin Alexander Dizacomo
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	7 Years
Location	81557 Dr Carreon Blvd Ste C4, Indio, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Devlin Alexander Dizacomo graduated from medical school in 2018

NPI Data:

NPI Number: 1023593902
Provider Enumeration Date: 09/26/2018
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 5597183947
Enrollment ID: I20220712000850

Medical Identifiers

Medical identifiers for Dr Devlin Alexander Dizacomo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023593902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	043117 (New York)	Secondary
225100000X	Physical Therapist	PTL.0018134 (Colorado)	Secondary
225100000X	Physical Therapist	PT304810 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Medical Group Denver, Llc	0840513552	454
Colorado Luna Care Physical Therapy Llc	7517363617	155

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. Dr Devlin Alexander Dizacomo allows following entities to bill medicare on his behalf.

Provider Name	Intermountain Medical Group Denver, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131

Provider Name	Select Physical Therapy Of West Denver Limited Partnership
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346896081 PECOS PAC ID: 6709771157 Enrollment ID: O20191022001159

Provider Name	Colorado Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891461125 PECOS PAC ID: 7517363617 Enrollment ID: O20210914002694

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. Dr Devlin Alexander Dizacomo 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
Dr Devlin Alexander Dizacomo, DPT 408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135 Ph: (805) 788-0805	Dr Devlin Alexander Dizacomo, DPT 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201-5562 Ph: (760) 347-6195

Reviews and Comments

Physical Therapist in Indio, CA

Dr. Jonathan Michael Elbert, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 80629 Declaration Ave, Indio, CA 92201 Phone: 515-341-9738
Jasmine Mireya Gongora, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849
Leo J King, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 82013 Dr Carreon Blvd, Suite I, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849
Ian Halderman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849
Sara M Schuldt, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849
Sharon B Dabareiner, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 81577 Dr. Carreon Blvd., Suite C8, Indio, CA 92201 Phone: 760-775-5511

Dr Devlin Alexander Dizacomo, DPT - Medicare Physical Therapist in Indio, CA