Divine Lovala Kuja, in Grand Prairie, TX - Medicare Physical Therapist Provider

Divine Lovala Kuja, is a medicare enrolled "Physical Therapist" provider in Grand Prairie, Texas. His current practice location is 601 S Great Southwest Pkwy Ste 106, Grand Prairie, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 412-2528.

Divine Lovala Kuja is licensed to practice in Texas (license number 1236233) 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 1922650100.

Contact Information

	Divine Lovala Kuja,
	601 S Great Southwest Pkwy Ste 106, Grand Prairie, TX 75051-1057
	(214) 412-2528
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Divine Lovala Kuja
Gender	Male
Speciality	Physical Therapist
Location	601 S Great Southwest Pkwy Ste 106, Grand Prairie, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922650100
Provider Enumeration Date: 07/09/2019
Last Update Date: 07/09/2019

Medicare PECOS Information:

PECOS PAC ID: 2163857756
Enrollment ID: I20200108000671

Medical Identifiers

Medical identifiers for Divine Lovala Kuja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922650100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1236233 (Texas)	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. Divine Lovala Kuja allows following entities to bill medicare on his behalf.

Provider Name	Summit Physical Therapy P A
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740282052 PECOS PAC ID: 6507842747 Enrollment ID: O20040628000855

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. Divine Lovala Kuja 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
Divine Lovala Kuja, 601 S Great Southwest Pkwy Ste 106, Grand Prairie, TX 75051-1057 Ph: (214) 412-2528	Divine Lovala Kuja, 601 S Great Southwest Pkwy Ste 106, Grand Prairie, TX 75051-1057 Ph: (214) 412-2528

Reviews and Comments

Physical Therapist in Grand Prairie, TX

Farrah E Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3824 S Carrier Pkwy, Suite 470, Grand Prairie, TX 75052 Phone: 972-262-9972 Fax: 972-262-9986
Holly Sophia Martinez, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 397 Armed Forces Dr Bldg 8300, Grand Prairie, TX 75051 Phone: 512-782-5001
Alyssa Nicole Rios, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2360 W Camp Wisdom Rd Ste 140, Grand Prairie, TX 75052 Phone: 469-460-6683
Mrs. Edolo O Azenabor, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2306 Oak Ln Ste 206, Grand Prairie, TX 75051 Phone: 972-262-6400 Fax: 972-262-6544
Dr. Joel A Terjak, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3055 Bardin Rd Ste 220, Grand Prairie, TX 75052 Phone: 972-522-2200
Mychael Ray Ramirez, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3824 S Carrier Pkwy, Suite 470, Grand Prairie, TX 75052 Phone: 972-262-9972 Fax: 972-262-9986
Onsite Industrial Therapy Systems, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 W Marshall Dr, Grand Prairie, TX 75051 Phone: 972-946-4400

Divine Lovala Kuja, - Medicare Physical Therapist in Grand Prairie, TX