Ellen Dale, PT, DPT in Corona Del Mar, CA - Medicare Physical Therapist Provider

Ellen Dale, PT, DPT is a medicare enrolled "Physical Therapist" provider in Corona Del Mar, California. Her current practice location is 2711 E Coast Hwy, Suite 206, Corona Del Mar, California. You can reach out to her office (for appointments etc.) via phone at (949) 675-2922.

Ellen Dale is licensed to practice in California (license number 34119) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376702373.

Contact Information

	Ellen Dale, PT, DPT
	2711 E Coast Hwy, Suite 206, Corona Del Mar, CA 92625-2104
	(949) 675-2922
	(949) 675-2992

Map and Direction

Healthcare Provider's Profile

Full Name	Ellen Dale
Gender	Female
Speciality	Physical Therapist
Location	2711 E Coast Hwy, Corona Del Mar, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376702373
Provider Enumeration Date: 06/04/2008
Last Update Date: 03/28/2013

Medicare PECOS Information:

PECOS PAC ID: 2668545781
Enrollment ID: I20080723000534

Medical Identifiers

Medical identifiers for Ellen Dale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376702373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	34119 (California)	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. Ellen Dale allows following entities to bill medicare on her behalf.

Provider Name	Kinetik Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396478616 PECOS PAC ID: 7911381207 Enrollment ID: O20220906002208

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. Ellen Dale 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
Ellen Dale, PT, DPT 2711 E Coast Hwy, Suite 206, Corona Del Mar, CA 92625-2104 Ph: () -	Ellen Dale, PT, DPT 2711 E Coast Hwy, Suite 206, Corona Del Mar, CA 92625-2104 Ph: (949) 675-2922

Reviews and Comments

Physical Therapist in Corona Del Mar, CA

Brianna Doreen Foreman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2711 E Coast Hwy, Ste 206, Corona Del Mar, CA 92625 Phone: 949-675-2922
Eastbluff Physical Rehabilitation, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 East Pacific Coast Highway, Suite 240, Corona Del Mar, CA 92625 Phone: 949-760-9545 Fax: 714-968-4220
Wing Chi Tang, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2711 E Coast Hwy, Suite 206, Corona Del Mar, CA 92625 Phone: 949-675-2922
Dr. Jeffrey Fracalosy, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2600 E Coast Hwy, Corona Del Mar, CA 92625 Phone: 949-640-2121
Ms. Lisa Jean Welton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 East Pacific Coast Highway, Ste. 240, Corona Del Mar, CA 92625 Phone: 949-640-2121 Fax: 949-640-2631
Ginger Fee, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 East Pacific Coast Highway, Suite 240, Corona Del Mar, CA 92625 Phone: 949-640-2121 Fax: 949-640-2631

Ellen Dale, PT, DPT - Medicare Physical Therapist in Corona Del Mar, CA