Leandro Modenese Bastos, PT DPT in Spokane Valley, WA - Medicare Physical Therapist Provider

Leandro Modenese Bastos, PT DPT is a medicare enrolled "Physical Therapist" provider in Spokane Valley, Washington. His current practice location is 12403 E 1st Ave, Spokane Valley, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 370-7597.

Leandro Modenese Bastos is licensed to practice in California (license number 296037) 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 1679045546.

Contact Information

	Leandro Modenese Bastos, PT DPT
	12403 E 1st Ave, Spokane Valley, WA 99216-0702
	(509) 370-7597
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Leandro Modenese Bastos
Gender	Male
Speciality	Physical Therapist
Location	12403 E 1st Ave, Spokane Valley, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679045546
Provider Enumeration Date: 12/17/2018
Last Update Date: 03/27/2025

Medicare PECOS Information:

PECOS PAC ID: 4082952452
Enrollment ID: I20211109003612

Medical Identifiers

Medical identifiers for Leandro Modenese Bastos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679045546	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	296037 (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. Leandro Modenese Bastos allows following entities to bill medicare on his behalf.

Provider Name	Sports Lab & Physical Therapy, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972295848 PECOS PAC ID: 7810406766 Enrollment ID: O20250602003179

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. Leandro Modenese Bastos 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
Leandro Modenese Bastos, PT DPT 4915 W Rosewood Ave, Spokane, WA 99208-3740 Ph: (562) 212-8477	Leandro Modenese Bastos, PT DPT 12403 E 1st Ave, Spokane Valley, WA 99216-0702 Ph: (509) 370-7597

Reviews and Comments

Physical Therapist in Spokane Valley, WA

Miss Sarah Anne Nall, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1510 N Argonne Rd Ste F, Spokane Valley, WA 99212 Phone: 509-279-2867 Fax: 509-279-2419
Empire-star Ventures Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12410 E Sinto Ave, #203, Spokane Valley, WA 99216 Phone: 509-927-7827
Ms. Jana Leigh Kimball, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3303 N Pines Rd, Spokane Valley, WA 99206 Phone: 704-516-3654
Wendy Shaw, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9212 E Montgomery Ave, #103, Spokane Valley, WA 99206 Phone: 509-922-0855 Fax: 509-921-0050
Lakeside Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 N Vercler Rd, Suite 1, Spokane Valley, WA 99216 Phone: 509-891-0658
Paul D Rosenbaum, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12410 E Sinto Ave Ste 101, Spokane Valley, WA 99216 Phone: 509-789-2956 Fax: 509-789-2976
Chandis Mikkelsen, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12509 E Mission Ave, Ste. 202, Spokane Valley, WA 99216 Phone: 509-444-5678 Fax: 509-343-5678

Leandro Modenese Bastos, PT DPT - Medicare Physical Therapist in Spokane Valley, WA