Mr Benjamin Ogalesco Ilagan Iii, PT is a medicare enrolled "Physical Therapist" provider in Churchville, Maryland. He graduated from medical school in 1992 and has 34 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Prime Light Health Services, Supreme Health And Rehabilitation Services, Llc and his current practice location is
200 Clear View Ct, Churchville, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 734-4818.
Mr Benjamin Ogalesco Ilagan Iii is licensed to practice in Maryland (license number 18395) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538433669.
Healthcare Provider's Profile
| Full Name | Mr Benjamin Ogalesco Ilagan Iii |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 34 Years |
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| Location | 200 Clear View Ct, Churchville, Maryland |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Benjamin Ogalesco Ilagan Iii graduated from medical school in 1992
NPI Data:
- NPI Number: 1538433669
- Provider Enumeration Date: 03/07/2012
- Last Update Date: 03/07/2012
Medicare PECOS Information:
- PECOS PAC ID: 1153725809
- Enrollment ID: I20210803002876
Medical Identifiers
Medical identifiers for Mr Benjamin Ogalesco Ilagan Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538433669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 18395 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Prime Light Health Services | 9931624079 | 6 |
| Supreme Health And Rehabilitation Services, Llc | 3971013863 | 7 |
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. Mr Benjamin Ogalesco Ilagan Iii allows following entities to bill medicare on his behalf.
| Provider Name | Fox Rehab Pt Md Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1588901847 PECOS PAC ID: 6709028822 Enrollment ID: O20130820000083 |
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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. Mr Benjamin Ogalesco Ilagan Iii 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 |
Mr Benjamin Ogalesco Ilagan Iii, PT 200 Clear View Ct, Churchville, MD 21028-1606 Ph: (410) 734-4818 | Mr Benjamin Ogalesco Ilagan Iii, PT 200 Clear View Ct, Churchville, MD 21028-1606 Ph: (410) 734-4818 |
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