Dr Carlos Villanueva, PT, DPT in Tempe, AZ - Medicare Physical Therapist Provider

Dr Carlos Villanueva, PT, DPT is a medicare enrolled "Physical Therapist" provider in Tempe, Arizona. His current practice location is 2140 E 5th St Ste 8, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 474-4921.

Dr Carlos Villanueva is licensed to practice in Arizona (license number LPT-034027) 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 1245041763.

Contact Information

	Dr Carlos Villanueva, PT, DPT
	2140 E 5th St Ste 8, Tempe, AZ 85288-3043
	(480) 474-4921
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Carlos Villanueva
Gender	Male
Speciality	Physical Therapist
Location	2140 E 5th St Ste 8, Tempe, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245041763
Provider Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025

Medicare PECOS Information:

PECOS PAC ID: 4385174366
Enrollment ID: I20250205003295

Medical Identifiers

Medical identifiers for Dr Carlos Villanueva such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245041763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	LPT-034027 (Arizona)	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. Dr Carlos Villanueva allows following entities to bill medicare on his behalf.

Provider Name	Gmclarty Enterprises Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679036800 PECOS PAC ID: 1951636513 Enrollment ID: O20190718001649

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 Carlos Villanueva 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 Carlos Villanueva, PT, DPT 2177 S Mcqueen Rd Apt 3098, Chandler, AZ 85286-1852 Ph: (520) 878-6772	Dr Carlos Villanueva, PT, DPT 2140 E 5th St Ste 8, Tempe, AZ 85288-3043 Ph: (480) 474-4921

Reviews and Comments

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Dr Carlos Villanueva, PT, DPT - Medicare Physical Therapist in Tempe, AZ