Mark Kevin Oller Viduya, in Madisonville, TN - Medicare Physical Therapist Provider

Mark Kevin Oller Viduya, is a medicare enrolled "Physical Therapist" provider in Madisonville, Tennessee. His current practice location is 4249 Highway 411 Ste 4, Madisonville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 442-4034.

Mark Kevin Oller Viduya is licensed to practice in Connecticut (license number 012542) 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 1407557580.

Contact Information

	Mark Kevin Oller Viduya,
	4249 Highway 411 Ste 4, Madisonville, TN 37354-1544
	(423) 442-4034
	(423) 442-6463

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Kevin Oller Viduya
Gender	Male
Speciality	Physical Therapist
Location	4249 Highway 411 Ste 4, Madisonville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407557580
Provider Enumeration Date: 03/15/2023
Last Update Date: 03/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6103285275
Enrollment ID: I20230707000700

Medical Identifiers

Medical identifiers for Mark Kevin Oller Viduya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407557580	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	012542 (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. Mark Kevin Oller Viduya allows following entities to bill medicare on his behalf.

Provider Name	Agilitas Usa, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337

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. Mark Kevin Oller Viduya 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
Mark Kevin Oller Viduya, 1580 Sawgrass Corporate Pkwy Ste 200, Sunrise, FL 33323-2869 Ph: (954) 739-4247	Mark Kevin Oller Viduya, 4249 Highway 411 Ste 4, Madisonville, TN 37354-1544 Ph: (423) 442-4034

Reviews and Comments

Physical Therapist in Madisonville, TN

Lance Hodge, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4249 Highway 411 Ste 4, Madisonville, TN 37354 Phone: 423-442-4034
Michaela Hauer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4249 Highway 411 Ste 4, Madisonville, TN 37354 Phone: 423-442-4043
Gage A Kerns, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4249 Highway 411 Ste 4, Madisonville, TN 37354 Phone: 423-442-4034
Justin Brown, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4249 Highway 411 Ste 4, Madisonville, TN 37354 Phone: 423-442-4034
Zachary John Gerber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4249 Highway 411, Ste 4, Madisonville, TN 37354 Phone: 423-436-0309 Fax: 423-436-0310
Mrs. Nicole Marie Cresswell, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4249 Highway 411, Ste 4, Madisonville, TN 37354 Phone: 423-436-0309 Fax: 423-436-0310

Mark Kevin Oller Viduya, - Medicare Physical Therapist in Madisonville, TN