Mr Sergio E Valdivia, PT is a medicare enrolled "Physical Therapist" provider in Lake Suzy, Florida. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Physical Therapy. His current practice location is
12355 Sw County Road 769, Suite B, Lake Suzy, Florida. You can reach out to his office (for appointments etc.) via phone at
(941) 468-1660.
Mr Sergio E Valdivia is licensed to practice in Florida (license number PT10727) 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 1225030166.
Healthcare Provider's Profile
| Full Name | Mr Sergio E Valdivia |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 42 Years |
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| Location | 12355 Sw County Road 769, Lake Suzy, Florida |
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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. |
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Medical Education and Training:
- Mr Sergio E Valdivia graduated from medical school in 1982
NPI Data:
- NPI Number: 1225030166
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 06/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 1557308574
- Enrollment ID: I20050413000201
Medical Identifiers
Medical identifiers for Mr Sergio E Valdivia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225030166 | NPI | - | NPPES |
| 001872584 | Other | | HIGHMARK BCBS |
| Y053N | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT10727 (Florida) | 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 Sergio E Valdivia allows following entities to bill medicare on his behalf.
| Provider Name | Florida Physical Therapy Specialists Port Charlotte Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1548262488
PECOS PAC ID: 9931146958
Enrollment ID: O20050412000430 |
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| Provider Name | Florida Physical Therapy Specialists Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1821287574
PECOS PAC ID: 2769567320
Enrollment ID: O20080307000122 |
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| Provider Name | Spinal Health And Rehab Of Punta Gorda |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184946691
PECOS PAC ID: 7214053727
Enrollment ID: O20100921001491 |
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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 Sergio E Valdivia 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 Sergio E Valdivia, PT
Po Box 1551,
Venice, FL 34284-1551
Ph: (941) 468-1660 | Mr Sergio E Valdivia, PT
12355 Sw County Road 769, Suite B,
Lake Suzy, FL 34269-5923
Ph: (941) 468-1660 |
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