Maria Fernanda Penunuri, DPT is a medicare enrolled "Physical Medicine & Rehabilitation - Brain Injury Medicine" provider in San Diego, California. Her current practice location is
2694 Escala Cir, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 306-1744.
Maria Fernanda Penunuri is licensed to practice in California (license number PT294447) 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 1033602016.
Healthcare Provider's Profile
| Full Name | Maria Fernanda Penunuri |
|---|
| Gender | Female |
|---|
| Speciality | Physical Medicine & Rehabilitation - Brain Injury Medicine |
|---|
| Location | 2694 Escala Cir, San Diego, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1033602016
- Provider Enumeration Date: 06/13/2018
- Last Update Date: 07/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 4082965017
- Enrollment ID: I20181001002233
Medical Identifiers
Medical identifiers for Maria Fernanda Penunuri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033602016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251C2600X | Physical Therapist - Cardiopulmonary | (* (Not Available)) | Secondary |
| 2251G0304X | Physical Therapist - Geriatrics | (* (Not Available)) | Secondary |
| 2251N0400X | Physical Therapist - Neurology | (* (Not Available)) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| 2081P0301X | Physical Medicine & Rehabilitation - Brain Injury Medicine | PT294447 (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. Maria Fernanda Penunuri allows following entities to bill medicare on her behalf.
| Provider Name | Mk Physical Therapy Inc |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1659898559
PECOS PAC ID: 8022384619
Enrollment ID: O20171026001244 |
|---|
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. Maria Fernanda Penunuri 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 |
|---|
Maria Fernanda Penunuri, DPT
2127 Olympic Pkwy # 1006-602,
Chula Vista, CA 91915-1359
Ph: (619) 306-1744 | Maria Fernanda Penunuri, DPT
2694 Escala Cir,
San Diego, CA 92108-6720
Ph: (619) 306-1744 |
Reviews and Comments