Mr Jed Edison Mance Evangelista, PT - Physical Therapist in Kew Gardens, NY

Mr Jed Edison Mance Evangelista, PT is a Physical Therapist based in Kew Gardens, New York. Mr Jed Edison Mance Evangelista is licensed to practice in * (Not Available) (license number ) and his current practice location is 8532 125th St, Kew Gardens, New York. He can be reached at his office (for appointments etc.) via phone at (410) 629-9872.

NPI number for Mr Jed Edison Mance Evangelista is 1215592845 and his current mailing address is 8532 125th St, Kew Gardens, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215592845.

Contact Information

Mr Jed Edison Mance Evangelista, PT
8532 125th St,
Kew Gardens, NY 11415-3311
(410) 629-9872
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Jed Edison Mance Evangelista
GenderMale
SpecialityPhysical Therapist
Location8532 125th St, Kew Gardens, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215592845
  • Provider Enumeration Date: 05/09/2019
  • Last Update Date: 05/09/2019

Medical Identifiers

Medical identifiers for Mr Jed Edison Mance Evangelista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215592845NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

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 Jed Edison Mance Evangelista is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jed Edison Mance Evangelista, PT
8532 125th St,
Kew Gardens, NY 11415-3311

Ph: (410) 629-9872
Mr Jed Edison Mance Evangelista, PT
8532 125th St,
Kew Gardens, NY 11415-3311

Ph: (410) 629-9872

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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