Evelyn Elli, PT in Staten Island, NY - Medicare Physical Therapist Provider

Evelyn Elli, PT is a medicare enrolled "Physical Therapist" provider in Staten Island, New York. Her current practice location is 879 Targee St, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 524-7509.

Evelyn Elli is licensed to practice in New York (license number 028813) 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 1639507312.

Contact Information

	Evelyn Elli, PT
	879 Targee St, Staten Island, NY 10304-4518
	(718) 524-7509
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evelyn Elli
Gender	Female
Speciality	Physical Therapist
Location	879 Targee St, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639507312
Provider Enumeration Date: 10/16/2013
Last Update Date: 11/26/2013

Medicare PECOS Information:

PECOS PAC ID: 5799908083
Enrollment ID: I20140513001308

Medical Identifiers

Medical identifiers for Evelyn Elli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639507312	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	028813 (New York)	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. Evelyn Elli allows following entities to bill medicare on her behalf.

Provider Name	Community Health Initiatives, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1033581608 PECOS PAC ID: 6709185408 Enrollment ID: O20160613000739

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. Evelyn Elli 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
Evelyn Elli, PT 879 Targee St, Staten Island, NY 10304-4518 Ph: (718) 524-7509	Evelyn Elli, PT 879 Targee St, Staten Island, NY 10304-4518 Ph: (718) 524-7509

Reviews and Comments

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Joy Murphy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1415 Richmond Ave, Staten Island, NY 10314 Phone: 877-407-3422 Fax: 877-407-4329

Evelyn Elli, PT - Medicare Physical Therapist in Staten Island, NY