Mr Jan Clarence Gutierrez Dimla, PT in Danville, IL - Medicare Physical Therapist Provider

Mr Jan Clarence Gutierrez Dimla, PT is a medicare enrolled "Physical Therapist" provider in Danville, Illinois. His current practice location is 14792 Catlin Tilton Rd, Danville, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 443-6430.

Mr Jan Clarence Gutierrez Dimla is licensed to practice in Illinois (license number 070022794) 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 1215455027.

Contact Information

	Mr Jan Clarence Gutierrez Dimla, PT
	14792 Catlin Tilton Rd, Danville, IL 61834-5116
	(217) 443-6430
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jan Clarence Gutierrez Dimla
Gender	Male
Speciality	Physical Therapist
Location	14792 Catlin Tilton Rd, Danville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215455027
Provider Enumeration Date: 08/31/2017
Last Update Date: 08/31/2017

Medicare PECOS Information:

PECOS PAC ID: 4587197678
Enrollment ID: I20241028003780

Medical Identifiers

Medical identifiers for Mr Jan Clarence Gutierrez Dimla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215455027	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070022794 (Illinois)	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 Jan Clarence Gutierrez Dimla allows following entities to bill medicare on his behalf.

Provider Name	Comprehensive Therapeutics Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663

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 Jan Clarence Gutierrez Dimla 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 Jan Clarence Gutierrez Dimla, PT 702 Luria Ln, Champaign, IL 61822-1107 Ph: (217) 550-9634	Mr Jan Clarence Gutierrez Dimla, PT 14792 Catlin Tilton Rd, Danville, IL 61834-5116 Ph: (217) 443-6430

Reviews and Comments

Physical Therapist in Danville, IL

Mr. Ronnie Lee Day, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3815 N Vermilion St, Danville, IL 61832 Phone: 217-446-7878 Fax: 217-446-7865
Plamen Alexandrov, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5235
Ms. Nancy S. Davidson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3545 N Vermilion St, Danville, IL 61832 Phone: 217-442-8611
Ms. Karmini S Persaud, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3733 Poolside Dr, Danville, IL 61832 Phone: 217-442-0812 Fax: 217-442-2181
Professional Physical Therapy, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3815 N Vermilion St, Danville, IL 61832 Phone: 217-446-7878 Fax: 217-446-7865
Yiting Du, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 N Logan Ave, Danville, IL 61832 Phone: 217-443-5000
Stacey Mitchell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2 E Main St Ste 102, Danville, IL 61832 Phone: 217-709-9000 Fax: 217-709-9001

Mr Jan Clarence Gutierrez Dimla, PT - Medicare Physical Therapist in Danville, IL