Larry Lieberman, in South Daytona, FL - Medicare Physical Therapist Provider

Larry Lieberman, is a medicare enrolled "Physical Therapist" provider in South Daytona, Florida. His current practice location is 917 Beville Rd, Suite G, South Daytona, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 756-4395.

Larry Lieberman is licensed to practice in Connecticut (license number 005134) 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 1619125663.

Contact Information

	Larry Lieberman,
	917 Beville Rd, Suite G, South Daytona, FL 32119-1712
	(386) 756-4395
	(866) 426-2811

Map and Direction

Healthcare Provider's Profile

Full Name	Larry Lieberman
Gender	Male
Speciality	Physical Therapist
Location	917 Beville Rd, South Daytona, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619125663
Provider Enumeration Date: 09/03/2008
Last Update Date: 09/03/2008

Medicare PECOS Information:

PECOS PAC ID: 4789652561
Enrollment ID: I20040920000740

Medical Identifiers

Medical identifiers for Larry Lieberman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619125663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	005134 (Connecticut)	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. Larry Lieberman allows following entities to bill medicare on his behalf.

Provider Name	Core Physical Therapy & Sports Medicine Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1609014893 PECOS PAC ID: 6204105364 Enrollment ID: O20170705001084

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. Larry Lieberman 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
Larry Lieberman, 34 Post Falls Ln, Hamden, CT 06518-1025 Ph: (203) 887-2526	Larry Lieberman, 917 Beville Rd, Suite G, South Daytona, FL 32119-1712 Ph: (386) 756-4395

Reviews and Comments

Physical Therapist in South Daytona, FL

Jennifer Haag, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 917 Beville Rd, Suite G, South Daytona, FL 32119 Phone: 386-756-4395 Fax: 866-426-2811
Matthew James Biegler Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Venture Dr Ste C, South Daytona, FL 32119 Phone: 386-763-0084
Mr. Jose Daniel Villasana, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Venture Dr Ste C, South Daytona, FL 32119 Phone: 386-763-0084
Ravin Michelle Chase, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 917 Beville Rd, Ste G, South Daytona, FL 32119 Phone: 386-756-4395 Fax: 866-426-2811
Jamie Marie Thompson, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Venture Dr Ste B, South Daytona, FL 32119 Phone: 386-763-0084 Fax: 386-763-0085
Cyril Buddy Leavvitt, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 917 Beville Rd, Suite G, South Daytona, FL 32119 Phone: 386-756-4395 Fax: 866-426-2811
Sara A Mitchell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 917 Beville Rd, Ste G, South Daytona, FL 32119 Phone: 386-756-4395

Larry Lieberman, - Medicare Physical Therapist in South Daytona, FL