Kathrinamay Basa, PT in Pleasanton, CA - Medicare Physical Therapist Provider

Kathrinamay Basa, PT is a medicare enrolled "Physical Therapist" provider in Pleasanton, California. Her current practice location is 3908 Valley Ave Ste B, Pleasanton, California. You can reach out to her office (for appointments etc.) via phone at (925) 417-8005.

Kathrinamay Basa is licensed to practice in California (license number PT302686) 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 1124748272.

Contact Information

	Kathrinamay Basa, PT
	3908 Valley Ave Ste B, Pleasanton, CA 94566-4872
	(925) 417-8005
	(925) 417-8881

Map and Direction

Healthcare Provider's Profile

Full Name	Kathrinamay Basa
Gender	Female
Speciality	Physical Therapist
Location	3908 Valley Ave Ste B, Pleasanton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124748272
Provider Enumeration Date: 08/30/2022
Last Update Date: 01/17/2023

Medicare PECOS Information:

PECOS PAC ID: 0042696874
Enrollment ID: I20221003001301

Medical Identifiers

Medical identifiers for Kathrinamay Basa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124748272	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT302686 (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. Kathrinamay Basa allows following entities to bill medicare on her behalf.

Provider Name	Ida L Coryell Hirst
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1861494031 PECOS PAC ID: 5890761514 Enrollment ID: O20040903000606

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. Kathrinamay Basa 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
Kathrinamay Basa, PT 3908 Valley Ave Ste B, Pleasanton, CA 94566-4872 Ph: (925) 417-8005	Kathrinamay Basa, PT 3908 Valley Ave Ste B, Pleasanton, CA 94566-4872 Ph: (925) 417-8005

Reviews and Comments

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Kathrinamay Basa, PT - Medicare Physical Therapist in Pleasanton, CA