Forever Young Physical Therapy Pc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Newport Beach, California. Their current practice location is
1600 W Coast Hwy Ste E, Newport Beach, California. You can reach out to their office (for appointments etc.) via phone at
(714) 944-3289.
Forever Young Physical Therapy Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Forever Young Physical Therapy Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1841856689.
Healthcare Provider's Profile
| Full Name | Forever Young Physical Therapy Pc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1600 W Coast Hwy Ste E, Newport Beach, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841856689
- Provider Enumeration Date: 05/17/2019
- Last Update Date: 09/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092145656
- Enrollment ID: O20200422000816
Medical Identifiers
Medical identifiers for Forever Young Physical Therapy Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841856689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Forever Young Physical Therapy Pc acts as a billing entity for following providers:
| Provider Name | Nader Theodory |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1538657788
PECOS PAC ID: 0749529493
Enrollment ID: I20190712002687 |
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| Provider Name | Sharon Sin |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1194382705
PECOS PAC ID: 4880003292
Enrollment ID: I20210513002737 |
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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. Forever Young Physical Therapy Pc 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 |
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Forever Young Physical Therapy Pc
1600 W Coast Hwy Ste E,
Newport Beach, CA 92663-5000
Ph: (714) 944-3289 | Forever Young Physical Therapy Pc
1600 W Coast Hwy Ste E,
Newport Beach, CA 92663-5000
Ph: (714) 944-3289 |
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