Michael Bandoma, DPT in Santa Monica, CA - Medicare Physical Therapist Provider

Michael Bandoma, DPT is a medicare enrolled "Physical Therapist" provider in Santa Monica, California. His current practice location is 2730 Wilshire Blvd Ste 105, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 984-5222.

Michael Bandoma is licensed to practice in California (license number 302700) 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 1245953769.

Contact Information

	Michael Bandoma, DPT
	2730 Wilshire Blvd Ste 105, Santa Monica, CA 90403-4724
	(310) 984-5222
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Bandoma
Gender	Male
Speciality	Physical Therapist
Location	2730 Wilshire Blvd Ste 105, Santa Monica, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245953769
Provider Enumeration Date: 09/20/2022
Last Update Date: 09/20/2022

Medicare PECOS Information:

PECOS PAC ID: 2567838758
Enrollment ID: I20221012003256

Medical Identifiers

Medical identifiers for Michael Bandoma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245953769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	302700 (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. Michael Bandoma allows following entities to bill medicare on his behalf.

Provider Name	Matrix Physical Therapy And Wellness Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790238418 PECOS PAC ID: 7416243662 Enrollment ID: O20160914001499

Provider Name	California Luna Care Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123

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. Michael Bandoma 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
Michael Bandoma, DPT 2730 Wilshire Blvd Ste 105, Santa Monica, CA 90403-4724 Ph: () -	Michael Bandoma, DPT 2730 Wilshire Blvd Ste 105, Santa Monica, CA 90403-4724 Ph: (310) 984-5222

Reviews and Comments

Physical Therapist in Santa Monica, CA

Mr. Jared Spencer Vagy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039
Rebecca Marie Pitts, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2010 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-878-2540
Eleanor Bachman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 20th St Apt 4, Santa Monica, CA 90404 Phone: 917-755-8910
Lori Jean Mccarty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 427 Wilshire Blvd, Santa Monica, CA 90401 Phone: 310-656-8600 Fax: 310-656-8606
Caitlin E Berry, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373
Michael Allan Andersen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039
Adrienne Telemaque, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373

Michael Bandoma, DPT - Medicare Physical Therapist in Santa Monica, CA