Mr Sidharth Anneboina, PT in Fowlerville, MI - Medicare Physical Therapist Provider

Mr Sidharth Anneboina, PT is a medicare enrolled "Physical Therapist" provider in Fowlerville, Michigan. His current practice location is 202 E Van Riper Rd Ste 200, Fowlerville, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 223-2100.

Mr Sidharth Anneboina is licensed to practice in Michigan (license number 5501013970) 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 1659683407.

Contact Information

	Mr Sidharth Anneboina, PT
	202 E Van Riper Rd Ste 200, Fowlerville, MI 48836-7947
	(517) 223-2100
	(517) 223-2101

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Sidharth Anneboina
Gender	Male
Speciality	Physical Therapist
Location	202 E Van Riper Rd Ste 200, Fowlerville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659683407
Provider Enumeration Date: 07/09/2010
Last Update Date: 02/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3678809233
Enrollment ID: I20190719002546

Medical Identifiers

Medical identifiers for Mr Sidharth Anneboina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659683407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501013970 (Michigan)	Primary
261QP2000X	Clinic/center - Physical Therapy	5501013970 (Michigan)	Secondary

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 Sidharth Anneboina allows following entities to bill medicare on his behalf.

Provider Name	Northville Physical Rehabilitation Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1982770673 PECOS PAC ID: 5193611101 Enrollment ID: O20070613000412

Provider Name	The Porretta Center For Orthopaedic Surgery, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306818331 PECOS PAC ID: 2860585544 Enrollment ID: O20070911000839

Provider Name	Michigan Rehabilitation Specialists Of Fowlerville Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1669531166 PECOS PAC ID: 6204730393 Enrollment ID: O20130927000721

Provider Name	Active Life Physical Therapy & Rehab Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073016614 PECOS PAC ID: 6800323023 Enrollment ID: O20241227002958

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 Sidharth Anneboina 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 Sidharth Anneboina, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206	Mr Sidharth Anneboina, PT 202 E Van Riper Rd Ste 200, Fowlerville, MI 48836-7947 Ph: (517) 223-2100

Reviews and Comments

Physical Therapist in Fowlerville, MI

Lori L Konopacke, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 E Van Riper Rd, Ste 200, Fowlerville, MI 48836 Phone: 517-223-2100 Fax: 517-223-2101
Eileen Palad Ramos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 E. Grand River, Fowlerville, MI 48836 Phone: 517-223-8308 Fax: 517-223-8344
Mid Michigan Physical Therapy Specialists, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 E Grand River Ave, Fowlerville, MI 48836 Phone: 517-223-8308 Fax: 517-223-8344
Charles Thomas Hoffman, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 E Van Riper Rd, Suite 200, Fowlerville, MI 48836 Phone: 517-223-2100 Fax: 517-223-2101
Daniel Michael Santioni, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 E Grand River Ave, Fowlerville, MI 48836 Phone: 517-223-8308 Fax: 517-223-8344
Mr. John Trevor Dean, PT,DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 125 E Grand River Ave, Fowlerville, MI 48836 Phone: 517-223-8308 Fax: 517-223-8344
Mr. William Thomas Weakland, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 E Van Riper Rd, Suite 202, Fowlerville, MI 48836 Phone: 517-223-2100 Fax: 517-223-2101

Mr Sidharth Anneboina, PT - Medicare Physical Therapist in Fowlerville, MI