Ms Crystal Dawn Omboli, PT, DPT in Irvine, CA - Medicare Physical Therapist Provider

Ms Crystal Dawn Omboli, PT, DPT is a medicare enrolled "Physical Therapist" provider in Irvine, California. Her current practice location is 17752 Sky Park Cir, Suite 230, Irvine, California. You can reach out to her office (for appointments etc.) via phone at (800) 561-5207.

Ms Crystal Dawn Omboli is licensed to practice in California (license number 39365) 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 1629312459.

Contact Information

	Ms Crystal Dawn Omboli, PT, DPT
	17752 Sky Park Cir, Suite 230, Irvine, CA 92614-6419
	(800) 561-5207
	(888) 262-5711

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Crystal Dawn Omboli
Gender	Female
Speciality	Physical Therapist
Location	17752 Sky Park Cir, Irvine, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629312459
Provider Enumeration Date: 11/16/2012
Last Update Date: 11/16/2012

Medicare PECOS Information:

PECOS PAC ID: 0840633897
Enrollment ID: I20240207001760

Medical Identifiers

Medical identifiers for Ms Crystal Dawn Omboli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629312459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	39365 (California)	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. Ms Crystal Dawn Omboli allows following entities to bill medicare on her behalf.

Provider Name	Global Wound Care Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871

Provider Name	American Wound Care Partners
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20230927002772

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. Ms Crystal Dawn Omboli 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
Ms Crystal Dawn Omboli, PT, DPT 17752 Sky Park Cir, Suite 230, Irvine, CA 92614-6419 Ph: (800) 561-5207	Ms Crystal Dawn Omboli, PT, DPT 17752 Sky Park Cir, Suite 230, Irvine, CA 92614-6419 Ph: (800) 561-5207

Reviews and Comments

Physical Therapist in Irvine, CA

Kimberly M. Maclean, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606 Phone: 949-265-2442 Fax: 949-265-2448
Ms. Luz O Blake, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15715 Rockfield Boulevard, Suite 100, Irvine, CA 92618 Phone: 949-206-9100 Fax: 949-206-1648
Davis Y Koh, DPT, MBA, GCS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9080 Irvine Center Dr, Irvine, CA 92618 Phone: 949-540-5641
Par Plus, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 16257 Laguna Canyon Rd, Suite # 150, Irvine, CA 92618 Phone: 949-727-0700 Fax: 949-727-0707
Denise Marie Lane, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4482 Barranca Pkwy Ste 195, Irvine, CA 92604 Phone: 949-679-3337 Fax: 949-679-3336
Matthew Hoang, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17332 Von Karman Ave Ste 120, Irvine, CA 92614 Phone: 949-861-8600
Shelly A Gadea, Physical Therapist Medicare: Medicare Enrolled Practice Location: 24 Hammond, Unit C, Irvine, CA 92618 Phone: 949-770-6022 Fax: 949-770-7084

Ms Crystal Dawn Omboli, PT, DPT - Medicare Physical Therapist in Irvine, CA