Gregg Edward Dedomenico, PT, DPT, MS, ATC in Smyrna, DE - Medicare Physical Therapist Provider

Gregg Edward Dedomenico, PT, DPT, MS, ATC is a medicare enrolled "Physical Therapist" provider in Smyrna, Delaware. His current practice location is 208 N Dupont Blvd, Smyrna, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 539-8389.

Gregg Edward Dedomenico is licensed to practice in Delaware (license number J1-0014325) 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 1205412483.

Contact Information

	Gregg Edward Dedomenico, PT, DPT, MS, ATC
	208 N Dupont Blvd, Smyrna, DE 19977-1511
	(302) 539-8389
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gregg Edward Dedomenico
Gender	Male
Speciality	Physical Therapist
Location	208 N Dupont Blvd, Smyrna, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205412483
Provider Enumeration Date: 03/19/2021
Last Update Date: 03/19/2021

Medicare PECOS Information:

PECOS PAC ID: 6507275898
Enrollment ID: I20210518001220

Medical Identifiers

Medical identifiers for Gregg Edward Dedomenico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205412483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	J1-0014325 (Delaware)	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. Gregg Edward Dedomenico allows following entities to bill medicare on his behalf.

Provider Name	Physiotherapy Associates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770660250 PECOS PAC ID: 3577470442 Enrollment ID: O20040406001434

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. Gregg Edward Dedomenico 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
Gregg Edward Dedomenico, PT, DPT, MS, ATC 110 Cartagena Dr, Brick, NJ 08723-7005 Ph: (347) 609-3038	Gregg Edward Dedomenico, PT, DPT, MS, ATC 208 N Dupont Blvd, Smyrna, DE 19977-1511 Ph: (302) 539-8389

Reviews and Comments

Physical Therapist in Smyrna, DE

Craig Andrew Brill, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 Smyrna Clayton Blvd, Suite 4, Smyrna, DE 19977 Phone: 302-659-3102 Fax: 302-653-5423
Krishna Chaudhari, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1000 Smyrna Clayton Blvd Ste 4, Smyrna, DE 19977 Phone: 302-659-3102 Fax: 302-653-5423
Jamie Smoot, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 S Main St Ste 300, Smyrna, DE 19977 Phone: 302-389-7855 Fax: 302-449-2047
Juliana Spotts, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33 Deak Dr, Smyrna, DE 19977 Phone: 302-659-5700
Caleb Dodd, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 207 Stadium St, Smyrna, DE 19977 Phone: 919-258-2714 Fax: 410-648-4878
Marshal Mercado, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 33 Deak Dr Ste 101, Smyrna, DE 19977 Phone: 302-659-5700

Gregg Edward Dedomenico, PT, DPT, MS, ATC - Medicare Physical Therapist in Smyrna, DE