Mrs Taniazehra I Momin, PT in Chipley, FL - Medicare Physical Therapist Provider

Mrs Taniazehra I Momin, PT is a medicare enrolled "Physical Therapist" provider in Chipley, Florida. Her current practice location is 1695 Main St, Chipley, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 638-3387.

Mrs Taniazehra I Momin is licensed to practice in Georgia (license number PT017463) 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 1306399423.

Contact Information

	Mrs Taniazehra I Momin, PT
	1695 Main St, Chipley, FL 32428-5992
	(850) 638-3387
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Taniazehra I Momin
Gender	Female
Speciality	Physical Therapist
Location	1695 Main St, Chipley, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306399423
Provider Enumeration Date: 07/25/2016
Last Update Date: 11/05/2024

Medicare PECOS Information:

PECOS PAC ID: 7315224581
Enrollment ID: I20250109001203

Medical Identifiers

Medical identifiers for Mrs Taniazehra I Momin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306399423	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	31520 (Florida)	Secondary
225100000X	Physical Therapist	PT017463 (Georgia)	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 Taniazehra I Momin allows following entities to bill medicare on her behalf.

Provider Name	Physiotherapy Associates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760568257 PECOS PAC ID: 3577470442 Enrollment ID: O20241108001033

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 Taniazehra I Momin 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 Taniazehra I Momin, PT 1695 Main St, Chipley, FL 32428-5992 Ph: (850) 638-3387	Mrs Taniazehra I Momin, PT 1695 Main St, Chipley, FL 32428-5992 Ph: (850) 638-3387

Reviews and Comments

Physical Therapist in Chipley, FL

Debra M Grande, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 877 3rd St Ste 1, Chipley, FL 32428 Phone: 850-638-8447 Fax: 850-638-9217
Freddie A Kolmetz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 877 3rd St, Suite 1, Chipley, FL 32428 Phone: 850-638-8447 Fax: 850-638-9217
Burl Edwin Carroll Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St Ste 3a, Chipley, FL 32428 Phone: 850-638-3387
Absolute Physical & Aquatic Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1567 Main St, Chipley, FL 32428 Phone: 850-638-3387 Fax: 850-415-1967
Chauncey Belser, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 877 3rd St Ste 1, Chipley, FL 32428 Phone: 850-638-8447
Mrs. Ariel Jessica White, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1567 Main St, Chipley, FL 32428 Phone: 850-638-3387 Fax: 850-415-1967

Mrs Taniazehra I Momin, PT - Medicare Physical Therapist in Chipley, FL