Mrs Myriam Vicioso, in Bushnell, FL - Medicare Physical Therapist Provider

Mrs Myriam Vicioso, is a medicare enrolled "Physical Therapist" provider in Bushnell, Florida. Her current practice location is 124 S Florida St, Bushnell, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 793-8661.

Mrs Myriam Vicioso is licensed to practice in Florida (license number PT11412) 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 1124240007.

Contact Information

	Mrs Myriam Vicioso,
	124 S Florida St, Bushnell, FL 33513-6704
	(352) 793-8661
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Myriam Vicioso
Gender	Female
Speciality	Physical Therapist
Location	124 S Florida St, Bushnell, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124240007
Provider Enumeration Date: 05/02/2007
Last Update Date: 09/14/2011

Medicare PECOS Information:

PECOS PAC ID: 3971638628
Enrollment ID: I20100819000306

Medical Identifiers

Medical identifiers for Mrs Myriam Vicioso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124240007	NPI	-	NPPES
887300300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT11412 (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. Mrs Myriam Vicioso allows following entities to bill medicare on her behalf.

Provider Name	Surgical Practice Resource Group Of Florida Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992162291 PECOS PAC ID: 5496030819 Enrollment ID: O20170328001087

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 Myriam Vicioso 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 Myriam Vicioso, 124 S Florida St, Bushnell, FL 33513-6704 Ph: (352) 793-8661	Mrs Myriam Vicioso, 124 S Florida St, Bushnell, FL 33513-6704 Ph: (352) 793-8661

Reviews and Comments

Physical Therapist in Bushnell, FL

Rehab Gv Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 S Florida St, Bushnell, FL 33513 Phone: 352-793-8661 Fax: 352-793-6899
Mr. Bahaa R Gerges, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 S Florida St, Bushnell, FL 33513 Phone: 352-793-8661
Physical Therapy Services Of Sumter Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 413 N West St, Bushnell, FL 33513 Phone: 352-569-0004 Fax: 352-569-0090

Mrs Myriam Vicioso, - Medicare Physical Therapist in Bushnell, FL