Dipendra Gautam, in Madera, CA - Medicare Physical Therapist Provider

Dipendra Gautam, is a medicare enrolled "Physical Therapist - Geriatrics" provider in Madera, California. His current practice location is 502 Traverse Dr S, Madera, California. You can reach out to his office (for appointments etc.) via phone at (703) 626-9334.

Dipendra Gautam is licensed to practice in California (license number PT298252) 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 1437879624.

Contact Information

	Dipendra Gautam,
	502 Traverse Dr S, Madera, CA 93636
	(703) 626-9334
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dipendra Gautam
Gender	Male
Speciality	Physical Therapist - Geriatrics
Location	502 Traverse Dr S, Madera, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437879624
Provider Enumeration Date: 08/30/2022
Last Update Date: 06/08/2025

Medicare PECOS Information:

PECOS PAC ID: 1850838814
Enrollment ID: I20241025000563

Medical Identifiers

Medical identifiers for Dipendra Gautam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437879624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251G0304X	Physical Therapist - Geriatrics	PT298252 (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. Dipendra Gautam allows following entities to bill medicare on his behalf.

Provider Name	Dipendra Gautam Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1831944875 PECOS PAC ID: 9830630227 Enrollment ID: O20241025000443

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. Dipendra Gautam 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
Dipendra Gautam, 7942 N Maple Ave Ste 102, Fresno, CA 93720-0293 Ph: (595) 396-4681	Dipendra Gautam, 502 Traverse Dr S, Madera, CA 93636 Ph: (703) 626-9334

Reviews and Comments

Physical Therapist in Madera, CA

Denise L. Haman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 559-353-6800
Adrian Gonzalez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 517 S A St, Madera, CA 93638 Phone: 559-673-9228
Masaru Kanda, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1653 N Schnoor St, 101, Madera, CA 93637 Phone: 559-674-5100 Fax: 559-674-5900
Mr. Michael R Alaniz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 559-353-3000
Ms. Heidi Lynn Mitchell, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1250 E Almond Ave, Madera, CA 93637 Phone: 559-675-5531 Fax: 559-675-5578
Sandra Kay Wright-gibson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W Dunham St, Madera, CA 93637 Phone: 559-674-0915 Fax: 559-661-1228
Megan Nicole Creamer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 559-353-6800

Dipendra Gautam, - Medicare Physical Therapist in Madera, CA