Mrs Jeanne Christopulos Egan, PT is a medicare enrolled "Physical Therapist" provider in Osterville, Massachusetts. Her current practice location is
719 Main St, Osterville, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 428-0300.
Mrs Jeanne Christopulos Egan is licensed to practice in Massachusetts (license number 2960) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295733566.
Healthcare Provider's Profile
| Full Name | Mrs Jeanne Christopulos Egan |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 719 Main St, Osterville, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295733566
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7618994385
- Enrollment ID: I20110215000842
Medical Identifiers
Medical identifiers for Mrs Jeanne Christopulos Egan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295733566 | NPI | - | NPPES |
| 0375632 | Medicaid | MA | |
| Y65135 | Other | MA | BCBS OF MA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 2960 (Massachusetts) | 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. Mrs Jeanne Christopulos Egan allows following entities to bill medicare on her behalf.
| Provider Name | Physical Therapy Center Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1194723478 PECOS PAC ID: 4981621653 Enrollment ID: O20051101000745 |
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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. Mrs Jeanne Christopulos Egan 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 |
Mrs Jeanne Christopulos Egan, PT Po Box 604, Osterville, MA 02655-0604 Ph: (508) 428-0300 | Mrs Jeanne Christopulos Egan, PT 719 Main St, Osterville, MA 02655-1903 Ph: (508) 428-0300 |
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