Divino Avellanosa, in Branson, MO - Medicare Physical Therapist Provider

Divino Avellanosa, is a medicare enrolled "Physical Therapist" provider in Branson, Missouri. His current practice location is 109 Briarcliff Rd, Branson, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 339-4069.

Divino Avellanosa is licensed to practice in Arkansas (license number PT1650) 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 1851753651.

Contact Information

	Divino Avellanosa,
	109 Briarcliff Rd, Branson, MO 65616-3735
	(417) 339-4069
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Divino Avellanosa
Gender	Male
Speciality	Physical Therapist
Location	109 Briarcliff Rd, Branson, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851753651
Provider Enumeration Date: 03/22/2016
Last Update Date: 03/22/2016

Medicare PECOS Information:

PECOS PAC ID: 9638460983
Enrollment ID: I20160617000120

Medical Identifiers

Medical identifiers for Divino Avellanosa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851753651	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT1650 (Arkansas)	Primary
2251G0304X	Physical Therapist - Geriatrics	(* (Not Available))	Secondary

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. Divino Avellanosa allows following entities to bill medicare on his behalf.

Provider Name	Mount Carmel Physical Therapy Center, Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1912339771 PECOS PAC ID: 4183868078 Enrollment ID: O20130916000106

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. Divino Avellanosa 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
Divino Avellanosa, 109 Briarcliff Rd, Branson, MO 65616-3735 Ph: (417) 339-4069	Divino Avellanosa, 109 Briarcliff Rd, Branson, MO 65616-3735 Ph: (417) 339-4069

Reviews and Comments

Physical Therapist in Branson, MO

Matthew Rainey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 670 Branson Landing Blvd Ste 2, Branson, MO 65616 Phone: 417-332-2990 Fax: 417-332-1799
John Dalton Burke, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4470 Gretna Rd, Branson, MO 65616 Phone: 417-320-3413
Dr. Keith Delbert Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 Branson Landing Blvd, Branson, MO 65616 Phone: 417-699-1513
Dr. Kathryn Suzanne Lotz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 670 Branson Landing Blvd, Suite 2, Branson, MO 65616 Phone: 417-332-2990
Wyatt Dawson Titus, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 448 State Highway 248 Ste 130, Branson, MO 65616 Phone: 417-332-2990
Mrs. Nicki Louise Newell, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 813 S. Business Hwy. 65, Branson, MO 65616 Phone: 417-334-6660 Fax: 417-334-6661
Sally K Meadows, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Cedar Ridge Dr, Special Services -- Claim Care, Branson, MO 65616 Phone: 417-334-6541 Fax: 417-334-6619

Divino Avellanosa, - Medicare Physical Therapist in Branson, MO