Mr Gino John Brunello, PT in Santa Maria, CA - Medicare Physical Therapist Provider

Mr Gino John Brunello, PT is a medicare enrolled "Physical Therapist" provider in Santa Maria, California. His current practice location is 2530 Professional Pkwy, Santa Maria, California. You can reach out to his office (for appointments etc.) via phone at (805) 928-4465.

Mr Gino John Brunello is licensed to practice in California (license number PT16371) 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 1063579910.

Contact Information

	Mr Gino John Brunello, PT
	2530 Professional Pkwy, Santa Maria, CA 93455-1602
	(805) 928-4465
	(805) 928-7935

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Gino John Brunello
Gender	Male
Speciality	Physical Therapist
Location	2530 Professional Pkwy, Santa Maria, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063579910
Provider Enumeration Date: 01/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2062687650
Enrollment ID: I20230301000554

Medical Identifiers

Medical identifiers for Mr Gino John Brunello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063579910	NPI	-	NPPES
PT0163710	Medicaid	CA
OPT163710	Other	CA	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT16371 (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. Mr Gino John Brunello allows following entities to bill medicare on his behalf.

Provider Name	Stephenville Sports Rehab & Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1932291697 PECOS PAC ID: 8123295706 Enrollment ID: O20220218000371

Provider Name	Brunello Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1023878089 PECOS PAC ID: 6305285701 Enrollment ID: O20240418000967

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 Gino John Brunello 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 Gino John Brunello, PT 2530 Professional Pkwy, Santa Maria, CA 93455-1602 Ph: (805) 928-4465	Mr Gino John Brunello, PT 2530 Professional Pkwy, Santa Maria, CA 93455-1602 Ph: (805) 928-4465

Reviews and Comments

Physical Therapist in Santa Maria, CA

Matthew Sagisi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2530 Professional Pkwy, Santa Maria, CA 93455 Phone: 805-928-4465 Fax: 805-928-7935
Dr. Ernesto Josue Vega, PT,DPT,CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 526 San Diego St, Santa Maria, CA 93455 Phone: 805-867-3110
Staci Lynn-sargent Mc Lean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015b S Broadway, Santa Maria, CA 93454 Phone: 805-440-9318 Fax: 805-938-5390
Dallan Noel Rigby, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 N Miller St, Santa Maria, CA 93454 Phone: 805-739-2518
Quentin Doug Sims Iii, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2530 Professional Pkwy, Santa Maria, CA 93455 Phone: 805-928-4465 Fax: 805-928-7935
Alexis Emmanuel Camacho Zarate, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N College Dr Ste 203, Santa Maria, CA 93454 Phone: 805-922-1724

Mr Gino John Brunello, PT - Medicare Physical Therapist in Santa Maria, CA