Dr Leonard R Disla, DPT in Eatontown, NJ - Medicare Physical Therapist Provider

Dr Leonard R Disla, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Eatontown, New Jersey. His current practice location is 246 Industrial Way W, Eatontown, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 455-2724.

Dr Leonard R Disla is licensed to practice in New Jersey (license number 40QA01349800) 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 1962787085.

Contact Information

	Dr Leonard R Disla, DPT
	246 Industrial Way W, Eatontown, NJ 07724-4240
	(732) 455-2724
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Leonard R Disla
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	246 Industrial Way W, Eatontown, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962787085
Provider Enumeration Date: 10/20/2011
Last Update Date: 09/18/2018

Medicare PECOS Information:

PECOS PAC ID: 1355508581
Enrollment ID: I20120131000359

Medical Identifiers

Medical identifiers for Dr Leonard R Disla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962787085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	40QA01349800 (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 Leonard R Disla allows following entities to bill medicare on his behalf.

Provider Name	Tsl Sport Therapeutics Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1861247066 PECOS PAC ID: 7214471218 Enrollment ID: O20240702000150

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 Leonard R Disla 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 Leonard R Disla, DPT 246 Industrial Way W, Eatontown, NJ 07724-4240 Ph: (732) 455-2724	Dr Leonard R Disla, DPT 246 Industrial Way W, Eatontown, NJ 07724-4240 Ph: (732) 455-2724

Reviews and Comments

Physical Therapist in Eatontown, NJ

Anthony Joseph Iadisernia, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Main St Ste 505, Eatontown, NJ 07724 Phone: 732-493-3100
Jessica Sara Jacko, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3 Industrial Way E, Eatontown, NJ 07724 Phone: 732-544-1557
Patrick Baytan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Main St Ste 505, Eatontown, NJ 07724 Phone: 732-493-3100 Fax: 732-876-4967
Dr. Jason A Peter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Main St Ste 505, Eatontown, NJ 07724 Phone: 732-493-3100
Mrs. Andrea Neyhart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Industrial Way East, Eatontown, NJ 07724 Phone: 732-544-1557
Mrs. Mary W Baumer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Industrial Way W, Eatontown, NJ 07724 Phone: 732-542-2525 Fax: 732-542-2445
Dr. Raj B Joshi, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 135 Rte 35, Eatontown, NJ 07724 Phone: 855-660-4325

Dr Leonard R Disla, DPT - Medicare Physical Therapist in Eatontown, NJ