Ennis Khaleq, PT in Desert Hot Springs, CA - Medicare Physical Therapist Provider

Ennis Khaleq, PT is a medicare enrolled "Physical Therapist" provider in Desert Hot Springs, California. His current practice location is 64870 La Costa Ct, Desert Hot Springs, California. You can reach out to his office (for appointments etc.) via phone at (714) 605-3698.

Ennis Khaleq is licensed to practice in California (license number 303179) 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 1073325437.

Contact Information

	Ennis Khaleq, PT
	64870 La Costa Ct, Desert Hot Springs, CA 92240-1415
	(714) 605-3698
	(866) 225-9947

Map and Direction

Healthcare Provider's Profile

Full Name	Ennis Khaleq
Gender	Male
Speciality	Physical Therapist
Location	64870 La Costa Ct, Desert Hot Springs, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073325437
Provider Enumeration Date: 01/23/2025
Last Update Date: 01/23/2025

Medicare PECOS Information:

PECOS PAC ID: 9537698782
Enrollment ID: I20250203000286

Medical Identifiers

Medical identifiers for Ennis Khaleq such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073325437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	303179 (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. Ennis Khaleq allows following entities to bill medicare on his behalf.

Provider Name	On The Move Rehab
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1356710925 PECOS PAC ID: 6709195316 Enrollment ID: O20151022000752

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. Ennis Khaleq 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
Ennis Khaleq, PT 69472 Serenity Rd, Cathedral City, CA 92234-7921 Ph: (760) 409-6383	Ennis Khaleq, PT 64870 La Costa Ct, Desert Hot Springs, CA 92240-1415 Ph: (714) 605-3698

Reviews and Comments

Physical Therapist in Desert Hot Springs, CA

Raemar V Coloma, Physical Therapist Medicare: Medicare Enrolled Practice Location: 13313 Palm Dr Ste B, Desert Hot Springs, CA 92240 Phone: 760-671-4760
Michael Allan Salvanera, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13313 Palm Dr Ste B, Desert Hot Springs, CA 92240 Phone: 760-671-4760 Fax: 760-671-4798
Kevin Pontonuwu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13313 Palm Dr Ste B, Desert Hot Springs, CA 92240 Phone: 760-671-4760 Fax: 760-671-4798
David Frank Salas Jr., PT DPT CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13313 Palm Dr Ste B, Desert Hot Springs, CA 92240 Phone: 760-671-4760 Fax: 760-671-4798
Brian Andrew Roath, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13313 Palm Dr Ste B, Desert Hot Springs, CA 92240 Phone: 760-671-4760 Fax: 760-671-4798

Ennis Khaleq, PT - Medicare Physical Therapist in Desert Hot Springs, CA