Dr Emerson Medrano Mateo, DR PHYSICAL THERAPY is a medicare enrolled "Clinic/center - Physical Therapy" provider in Teaneck, New Jersey. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. His current practice location is
453 Glenwood Ave, Teaneck, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(212) 365-4505.
Dr Emerson Medrano Mateo is licensed to practice in New Jersey (license number 40QA01048000) 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 1992755607.
Healthcare Provider's Profile
| Full Name | Dr Emerson Medrano Mateo |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 5 Years |
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| Location | 453 Glenwood Ave, Teaneck, 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 Emerson Medrano Mateo graduated from medical school in 2019
NPI Data:
- NPI Number: 1992755607
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 02/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 6901858943
- Enrollment ID: I20050217000490
Medical Identifiers
Medical identifiers for Dr Emerson Medrano Mateo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992755607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2251G0304X | Physical Therapist - Geriatrics | 024900 (New York) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 40QA01048000 (New Jersey) | 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 Emerson Medrano Mateo allows following entities to bill medicare on his behalf.
| Provider Name | Therapy Wellness Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1730773961
PECOS PAC ID: 3577970276
Enrollment ID: O20210324003198 |
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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 Emerson Medrano Mateo 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 Emerson Medrano Mateo, DR PHYSICAL THERAPY
453 Glenwood Ave,
Teaneck, NJ 07666-6405
Ph: (212) 365-4505 | Dr Emerson Medrano Mateo, DR PHYSICAL THERAPY
453 Glenwood Ave,
Teaneck, NJ 07666-6405
Ph: (212) 365-4505 |
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