Dr Ethan-ira B Mamuric, DPT in Beverly Hills, CA - Medicare Physical Therapy Provider

Dr Ethan-ira B Mamuric, DPT is a medicare enrolled "Physical Therapist" provider in Beverly Hills, California. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Evolution Physical Therapy Inc and his current practice location is 201 N Robertson Blvd, Beverly Hills, California. You can reach out to his office (for appointments etc.) via phone at (424) 303-7647.

Dr Ethan-ira B Mamuric is licensed to practice in California (license number 301131) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1386306736.

Contact Information

	Dr Ethan-ira B Mamuric, DPT
	201 N Robertson Blvd, Beverly Hills, CA 90211-1729
	(424) 303-7647
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ethan-ira B Mamuric
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	201 N Robertson Blvd, Beverly Hills, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ethan-ira B Mamuric graduated from medical school in 2021

NPI Data:

NPI Number: 1386306736
Provider Enumeration Date: 10/12/2021
Last Update Date: 10/12/2021

Medicare PECOS Information:

PECOS PAC ID: 6406245190
Enrollment ID: I20211118001739

Medical Identifiers

Medical identifiers for Dr Ethan-ira B Mamuric such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386306736	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	301131 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Evolution Physical Therapy Inc	0244336964	47

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 Ethan-ira B Mamuric allows following entities to bill medicare on his behalf.

Provider Name	Evolution Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1174601116 PECOS PAC ID: 0244336964 Enrollment ID: O20070426000134

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 Ethan-ira B Mamuric 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 Ethan-ira B Mamuric, DPT 360 S Detroit St, Los Angeles, CA 90036-3475 Ph: (908) 405-5947	Dr Ethan-ira B Mamuric, DPT 201 N Robertson Blvd, Beverly Hills, CA 90211-1729 Ph: (424) 303-7647

Reviews and Comments

Physical Therapist in Beverly Hills, CA

Dr. Melissa Sheridan Peters, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 415 N Crescent Dr Ste 130, Beverly Hills, CA 90210 Phone: 310-273-0877
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Mr. Philippe Pouilloux, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9400 Brighton Way, Suite 101, Beverly Hills, CA 90210 Phone: 310-247-9070 Fax: 310-247-9008

Dr Ethan-ira B Mamuric, DPT - Medicare Physical Therapist in Beverly Hills, CA