Michael Tan Villamor, is a medicare enrolled "Physical Therapist" provider in Fruitland Park, Florida. His current practice location is
4337 Serene Cir, Fruitland Park, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 409-0988.
Michael Tan Villamor is licensed to practice in Florida (license number PT32465) 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 1205471554.
Healthcare Provider's Profile
| Full Name | Michael Tan Villamor |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 4337 Serene Cir, Fruitland Park, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205471554
- Provider Enumeration Date: 11/11/2019
- Last Update Date: 11/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 3274966759
- Enrollment ID: I20191216000313
Medical Identifiers
Medical identifiers for Michael Tan Villamor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205471554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT32465 (Florida) | 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 Tan Villamor allows following entities to bill medicare on his behalf.
| Provider Name | Legacy Healthcare Services Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1336535988
PECOS PAC ID: 2163339722
Enrollment ID: O20150805009289 |
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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 Tan Villamor 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 |
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Michael Tan Villamor,
4337 Serene Circle,
Fruitland Park, FL 34731
Ph: () - | Michael Tan Villamor,
4337 Serene Cir,
Fruitland Park, FL 34731-6057
Ph: (352) 409-0988 |
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