Dr Charles Agbonghae, PT in Waco, TX - Medicare Physical Therapist Provider

Dr Charles Agbonghae, PT is a medicare enrolled "Physical Therapist" provider in Waco, Texas. His current practice location is 4800 Memorial Dr, Waco, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 421-9364.

Dr Charles Agbonghae is licensed to practice in Texas (license number 1203007) 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 1366006728.

Contact Information

	Dr Charles Agbonghae, PT
	4800 Memorial Dr, Waco, TX 76711-1329
	(254) 421-9364
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Charles Agbonghae
Gender	Male
Speciality	Physical Therapist
Location	4800 Memorial Dr, Waco, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366006728
Provider Enumeration Date: 04/30/2019
Last Update Date: 04/30/2019

Medicare PECOS Information:

PECOS PAC ID: 1153851456
Enrollment ID: I20250214002008

Medical Identifiers

Medical identifiers for Dr Charles Agbonghae such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366006728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1203007 (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. Dr Charles Agbonghae allows following entities to bill medicare on his behalf.

Provider Name	Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210

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 Charles Agbonghae 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 Charles Agbonghae, PT 10021 Birch Tree Dr, Temple, TX 76502-5368 Ph: (254) 421-9364	Dr Charles Agbonghae, PT 4800 Memorial Dr, Waco, TX 76711-1329 Ph: (254) 421-9364

Reviews and Comments

Physical Therapist in Waco, TX

Dr. Paul Cook, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-752-6581
Julia Elizabeth Bennett, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 W State Highway 6, Suite 101, Waco, TX 76710 Phone: 254-776-3070 Fax: 254-776-7909
Mrs. Lori M Anderson, PT-MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Fish Pond Rd, Suite 204, Waco, TX 76710 Phone: 254-741-8450
Dr. Justin Deshaun Slaughter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Fish Pond Rd, Waco, TX 76710 Phone: 254-741-8450
Neil B Meske, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 W State Highway 6, Suite 101, Waco, TX 76710 Phone: 254-776-3070 Fax: 254-776-7909
F Scott Feil, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Mesa Verde Dr, Waco, TX 76712 Phone: 631-523-6337
Dr. Shaniece Denise Witte, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-4000

Dr Charles Agbonghae, PT - Medicare Physical Therapist in Waco, TX