Dr Augusto Reynoso, DPT is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Paterson, New Jersey. He graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Sportsmed Pt Llc and his current practice location is
414 E 41st St, Paterson, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 337-0315.
Dr Augusto Reynoso is licensed to practice in Idaho (license number ) 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 1609319599.
Healthcare Provider's Profile
| Full Name | Dr Augusto Reynoso |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 9 Years |
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| Location | 414 E 41st St, Paterson, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Augusto Reynoso graduated from medical school in 2016
NPI Data:
- NPI Number: 1609319599
- Provider Enumeration Date: 11/23/2016
- Last Update Date: 05/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 8628359338
- Enrollment ID: I20170111000532
Medical Identifiers
Medical identifiers for Dr Augusto Reynoso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609319599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 40QA01706700 (New Jersey) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (Idaho) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sportsmed Pt Llc | 0749535805 | 180 |
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 Augusto Reynoso allows following entities to bill medicare on his behalf.
| Provider Name | Sportsmed Pt Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1841787645
PECOS PAC ID: 0749535805
Enrollment ID: O20180614001056 |
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| Provider Name | Lusky Corp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407441892
PECOS PAC ID: 1153739107
Enrollment ID: O20210413000914 |
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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 Augusto Reynoso 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 |
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Dr Augusto Reynoso, DPT
414 E 41st St,
Paterson, NJ 07504-1221
Ph: (973) 337-0315 | Dr Augusto Reynoso, DPT
414 E 41st St,
Paterson, NJ 07504-1221
Ph: (973) 337-0315 |
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