Melissa Pedrena De Boda, PT in Glendale, CA - Medicare Physical Therapist Provider

Melissa Pedrena De Boda, PT is a medicare enrolled "Physical Therapist" provider in Glendale, California. Her current practice location is 235 N Kenwood St, Apt. A, Glendale, California. You can reach out to her office (for appointments etc.) via phone at (626) 272-9738.

Melissa Pedrena De Boda is licensed to practice in California (license number PT30068) 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 1033406343.

Contact Information

	Melissa Pedrena De Boda, PT
	235 N Kenwood St, Apt. A, Glendale, CA 91206-4288
	(626) 272-9738
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Melissa Pedrena De Boda
Gender	Female
Speciality	Physical Therapist
Location	235 N Kenwood St, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033406343
Provider Enumeration Date: 07/07/2011
Last Update Date: 05/27/2025

Medicare PECOS Information:

PECOS PAC ID: 7113437252
Enrollment ID: I20250609001717

Medical Identifiers

Medical identifiers for Melissa Pedrena De Boda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033406343	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT30068 (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. Melissa Pedrena De Boda allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Melissa Pedrena De Boda 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
Melissa Pedrena De Boda, PT 235 N Kenwood St, Apt. A, Glendale, CA 91206-4288 Ph: (626) 272-9738	Melissa Pedrena De Boda, PT 235 N Kenwood St, Apt. A, Glendale, CA 91206-4288 Ph: (626) 272-9738

Reviews and Comments

Physical Therapist in Glendale, CA

Mr. Eric Khanlarian, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 W Wilson Ave Unit 105, Glendale, CA 91203 Phone: 818-731-4040
Margousian Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1136 Winchester Ave Apt 204, Glendale, CA 91201 Phone: 818-568-4595
Adriana Quintero, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 W Broadway, Glendale, CA 91204 Phone: 818-246-7174
Alexander Moukhtarian, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 N Central Ave Ste 110, Glendale, CA 91202 Phone: 818-243-8422 Fax: 818-243-8444
Hugo Delgado Magana, Physical Therapist Medicare: Medicare Enrolled Practice Location: 605 W California Ave Apt 4, Glendale, CA 91203 Phone: 323-605-2182
Helen Gevorgyan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1814 Vassar St Apt 513, Glendale, CA 91204 Phone: 818-472-7893
Helen Setyan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3795 La Crescenta Ave Ste 102, Glendale, CA 91208 Phone: 323-830-0919

Melissa Pedrena De Boda, PT - Medicare Physical Therapist in Glendale, CA