Miss Sandra Ustaris, in Phila, PA - Medicare Physical Therapist Provider

Miss Sandra Ustaris, is a medicare enrolled "Physical Therapist" provider in Phila, Pennsylvania. Her current practice location is 2129 W Oregon Ave, Phila, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 336-6630.

Miss Sandra Ustaris is licensed to practice in Pennsylvania (license number PT 017952) 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 1942313549.

Contact Information

	Miss Sandra Ustaris,
	2129 W Oregon Ave, Phila, PA 19145-4131
	(215) 336-6630
	(215) 336-3928

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Sandra Ustaris
Gender	Female
Speciality	Physical Therapist
Location	2129 W Oregon Ave, Phila, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942313549
Provider Enumeration Date: 08/16/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 5698962876
Enrollment ID: I20220419000165

Medical Identifiers

Medical identifiers for Miss Sandra Ustaris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942313549	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT 017952 (Pennsylvania)	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. Miss Sandra Ustaris allows following entities to bill medicare on her behalf.

Provider Name	Pennsylvania Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1528689445 PECOS PAC ID: 7012338973 Enrollment ID: O20200601001529

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. Miss Sandra Ustaris 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
Miss Sandra Ustaris, 2129 W Oregon Ave, Phila, PA 19145-4131 Ph: (215) 336-6630	Miss Sandra Ustaris, 2129 W Oregon Ave, Phila, PA 19145-4131 Ph: (215) 336-6630

Reviews and Comments

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Miss Sandra Ustaris, - Medicare Physical Therapist in Phila, PA