Dr Ivan Daniel Vicario, DPT in Santa Monica, CA - Medicare Physical Therapy Provider

Dr Ivan Daniel Vicario, DPT is a medicare enrolled "Physical Therapist" provider in Santa Monica, California. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Gaspar Physical Therapy A Professional Corporation and his current practice location is 900 Wilshire Blvd, 315, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 434-2400.

Dr Ivan Daniel Vicario is licensed to practice in California (license number 40409) 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 1427481902.

Contact Information

	Dr Ivan Daniel Vicario, DPT
	900 Wilshire Blvd, 315, Santa Monica, CA 90401-1872
	(310) 434-2400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ivan Daniel Vicario
Gender	Male
Speciality	Physical Therapy
Experience	11 Years
Location	900 Wilshire Blvd, Santa Monica, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ivan Daniel Vicario graduated from medical school in 2013

NPI Data:

NPI Number: 1427481902
Provider Enumeration Date: 08/20/2013
Last Update Date: 08/26/2013

Medicare PECOS Information:

PECOS PAC ID: 3476788282
Enrollment ID: I20131104000795

Medical Identifiers

Medical identifiers for Dr Ivan Daniel Vicario such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427481902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40409 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gaspar Physical Therapy A Professional Corporation	0648165761	33

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 Ivan Daniel Vicario allows following entities to bill medicare on his behalf.

Provider Name	Gaspar Physical Therapy A Professional Corporation
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952544405 PECOS PAC ID: 0648165761 Enrollment ID: O20040218000309

Provider Name	Peak Performance Consulting Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1780749697 PECOS PAC ID: 0345223764 Enrollment ID: O20040608000842

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 Ivan Daniel Vicario 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 Ivan Daniel Vicario, DPT 900 Wilshire Blvd, #315, Santa Monica, CA 90401-1872 Ph: (858) 342-8730	Dr Ivan Daniel Vicario, DPT 900 Wilshire Blvd, 315, Santa Monica, CA 90401-1872 Ph: (310) 434-2400

Reviews and Comments

Physical Therapist in Santa Monica, CA

Mr. Jared Spencer Vagy, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039
Rebecca Marie Pitts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2010 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-878-2540
Eleanor Bachman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 20th St Apt 4, Santa Monica, CA 90404 Phone: 917-755-8910
Lori Jean Mccarty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 427 Wilshire Blvd, Santa Monica, CA 90401 Phone: 310-656-8600 Fax: 310-656-8606
Caitlin E Berry, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373
Michael Allan Andersen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039
Adrienne Telemaque, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373

Dr Ivan Daniel Vicario, DPT - Medicare Physical Therapist in Santa Monica, CA