Jordan Renee Bomba, PT in Lafayette, CA - Medicare Physical Therapist Provider

Jordan Renee Bomba, PT is a medicare enrolled "Physical Therapist" provider in Lafayette, California. Her current practice location is 3658 Mt Diablo Blvd Ste 100, Lafayette, California. You can reach out to her office (for appointments etc.) via phone at (925) 284-6150.

Jordan Renee Bomba is licensed to practice in California (license number 303128) 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 1356050090.

Contact Information

	Jordan Renee Bomba, PT
	3658 Mt Diablo Blvd Ste 100, Lafayette, CA 94549-6883
	(925) 284-6150
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Renee Bomba
Gender	Female
Speciality	Physical Therapist
Location	3658 Mt Diablo Blvd Ste 100, Lafayette, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356050090
Provider Enumeration Date: 11/21/2022
Last Update Date: 01/31/2023

Medicare PECOS Information:

PECOS PAC ID: 9032580048
Enrollment ID: I20230130000269

Medical Identifiers

Medical identifiers for Jordan Renee Bomba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356050090	NPI	-	NPPES
303128	Other	CA	PHYSICAL THERAPY BOARD OF CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	303128 (California)	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. Jordan Renee Bomba allows following entities to bill medicare on her behalf.

Provider Name	Sports & Orthopedic Leaders Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1013981760 PECOS PAC ID: 0446146708 Enrollment ID: O20090729000913

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. Jordan Renee Bomba 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
Jordan Renee Bomba, PT 3468 Mt Diablo Blvd Ste B110, Lafayette, CA 94549-7105 Ph: (925) 284-6150	Jordan Renee Bomba, PT 3658 Mt Diablo Blvd Ste 100, Lafayette, CA 94549-6883 Ph: (925) 284-6150

Reviews and Comments

Physical Therapist in Lafayette, CA

Beata Zegarowski, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1292 Quandt Ct, Lafayette, CA 94549 Phone: 925-216-5047
Jonathan Ide-don, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1041 Stuart St Ste A, Lafayette, CA 94549 Phone: 925-286-8545
Mr. Theodore Alan Glattke, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3717 Mt Diablo Blvd, Suite100, Lafayette, CA 94549 Phone: 925-284-5300 Fax: 925-284-5381
Mrs. Gladdys Oliva Santiago, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3441 Golden Gate Way Apt B, Lafayette, CA 94549 Phone: 925-286-3369
Mr. Harpreet Singh Sohi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3468 Mt Diablo Blvd Ste B110, Lafayette, CA 94549 Phone: 925-284-6150
Dr. Heidi Ananda Ojha, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3330 St Marys Rd, Lafayette, CA 94549 Phone: 650-804-0350
Mr. Eugene Medina, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3390 Mt Diablo Blvd, Suite 201, Lafayette, CA 94549 Phone: 925-284-6150 Fax: 925-284-6155

Jordan Renee Bomba, PT - Medicare Physical Therapist in Lafayette, CA