Gary Pevnick, PT in Los Angeles, CA - Medicare Physical Therapist Provider

Gary Pevnick, PT is a medicare enrolled "Physical Therapist" provider in Los Angeles, California. His current practice location is 12655 W Jefferson Blvd Fl 4, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 907-9215.

Gary Pevnick is licensed to practice in Missouri (license number 00394) 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 1245260769.

Contact Information

	Gary Pevnick, PT
	12655 W Jefferson Blvd Fl 4, Los Angeles, CA 90066-7008
	(310) 907-9215
	(310) 953-3281

Map and Direction

Healthcare Provider's Profile

Full Name	Gary Pevnick
Gender	Male
Speciality	Physical Therapist
Location	12655 W Jefferson Blvd Fl 4, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245260769
Provider Enumeration Date: 07/03/2006
Last Update Date: 07/29/2020

Medicare PECOS Information:

PECOS PAC ID: 3375561533
Enrollment ID: I20200824002163

Medical Identifiers

Medical identifiers for Gary Pevnick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245260769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	00394 (Missouri)	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. Gary Pevnick allows following entities to bill medicare on his behalf.

Provider Name	California Therapy Services, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134742364 PECOS PAC ID: 9032535190 Enrollment ID: O20200819003257

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. Gary Pevnick 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
Gary Pevnick, PT 30 Quarterdeck St Apt 3, Marina Del Rey, CA 90292-6700 Ph: (314) 570-5153	Gary Pevnick, PT 12655 W Jefferson Blvd Fl 4, Los Angeles, CA 90066-7008 Ph: (310) 907-9215

Reviews and Comments

Physical Therapist in Los Angeles, CA

Miss Jill M Werner, B.SC.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Cesar E Chavez Ave., Los Angeles, CA 90033 Phone: 323-268-5000
Ms. Peggy Sue Perock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 N La Brea Street, Bob Hope Medical Clinic, Los Angeles, CA 90036 Phone: 323-634-3826 Fax: 323-938-9958
Kristen Marie Sorrells, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 822 S Robertson Blvd, Suite 310, Los Angeles, CA 90035 Phone: 310-360-9069
Jessica Elizabeth Greim, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 310-361-2118
Mrs. Christy Lynn Skura, DPT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8717 Venice Blvd, Los Angeles, CA 90034 Phone: 310-337-7115 Fax: 310-216-6153
Dr. Sean Dennis Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 488 S San Vicente Blvd, Los Angeles, CA 90048 Phone: 323-655-9055
Izumi Yasuhara, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6080 Center Dr Fl 6, Los Angeles, CA 90045 Phone: 888-859-0145

Gary Pevnick, PT - Medicare Physical Therapist in Los Angeles, CA