Ismansjah Soekardi, PT in Aptos, CA - Medicare Physical Therapist In Private Practice Provider

Ismansjah Soekardi, PT is a medicare enrolled "Physical Therapist" provider in Aptos, California. He graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice California Orthopedic And Sports Therapy Rehabilitation Services, Inc. and his current practice location is 6193 Soquel Drive, Aptos, California. You can reach out to his office (for appointments etc.) via phone at (831) 462-1212.

Ismansjah Soekardi is licensed to practice in California (license number PT25843) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215054721.

Contact Information

	Ismansjah Soekardi, PT
	6193 Soquel Drive, Aptos, CA 95003
	(831) 462-1212
	(831) 462-1221

Map and Direction

Healthcare Provider's Profile

Full Name	Ismansjah Soekardi
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	26 Years
Location	6193 Soquel Drive, Aptos, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ismansjah Soekardi graduated from medical school in 1999

NPI Data:

NPI Number: 1215054721
Provider Enumeration Date: 03/22/2007
Last Update Date: 10/04/2018

Medicare PECOS Information:

PECOS PAC ID: 5799814836
Enrollment ID: I20100527000317

Medical Identifiers

Medical identifiers for Ismansjah Soekardi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215054721	NPI	-	NPPES
PT25843	Other	CA	CA PT LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT25843 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
California Orthopedic And Sports Therapy Rehabilitation Services, Inc.	6709940455	2

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. Ismansjah Soekardi allows following entities to bill medicare on his behalf.

Provider Name	California Orthopedic & Sports Therapy Rehabilitation Services, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417164328 PECOS PAC ID: 6709940455 Enrollment ID: O20090126000377

Provider Name	High Desert Therapists, Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1467402016 PECOS PAC ID: 9436145166 Enrollment ID: O20100326000288

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. Ismansjah Soekardi 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
Ismansjah Soekardi, PT 953 Columbus Dr, Capitola, CA 95010-2309 Ph: (831) 688-1212	Ismansjah Soekardi, PT 6193 Soquel Drive, Aptos, CA 95003 Ph: (831) 462-1212

Reviews and Comments

Physical Therapist in Aptos, CA

Mohan Micheal Siegel, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Hyannis Ct, Aptos, CA 95003 Phone: 831-600-6214
Sanna Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7539 Soquel Drive, Aptos, CA 95003 Phone: 831-688-1332
Mrs. Kimberly Ann Barry, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2505c Cabrillo College Dr., Aptos, CA 95003 Phone: 831-464-3901 Fax: 831-464-3010
Dr. Daniel Edward Campbell, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2505 Cabrillo College Dr, Aptos, CA 95003 Phone: 831-464-3901
Mr. Kevin Eugene Howard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7575 Soquel Dr, Aptos, CA 95003 Phone: 831-688-5156
Hina Shaikh, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7887 Soquel Dr, Aptos, CA 95003 Phone: 831-662-4547

Ismansjah Soekardi, PT - Medicare Physical Therapist in Aptos, CA