Nicolas Civale, in Irving, TX - Medicare Physical Therapist Provider

Nicolas Civale, is a medicare enrolled "Physical Therapist" provider in Irving, Texas. His current practice location is 5001 Statesman Dr, Irving, Texas. You can reach out to his office (for appointments etc.) via phone at (469) 524-1506.

Nicolas Civale is licensed to practice in Connecticut (license number 011659) 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 1356808463.

Contact Information

	Nicolas Civale,
	5001 Statesman Dr, Irving, TX 75063-2414
	(469) 524-1506
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicolas Civale
Gender	Male
Speciality	Physical Therapist
Location	5001 Statesman Dr, Irving, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356808463
Provider Enumeration Date: 02/25/2019
Last Update Date: 02/25/2019

Medicare PECOS Information:

PECOS PAC ID: 0648645804
Enrollment ID: I20230331002228

Medical Identifiers

Medical identifiers for Nicolas Civale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356808463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	011659 (Connecticut)	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. Nicolas Civale allows following entities to bill medicare on his behalf.

Provider Name	Evolution Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1659805117 PECOS PAC ID: 5092084244 Enrollment ID: O20170705000264

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. Nicolas Civale 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
Nicolas Civale, 129 Greenwoods Ln, East Windsor, CT 06088-9692 Ph: (860) 372-8013	Nicolas Civale, 5001 Statesman Dr, Irving, TX 75063-2414 Ph: (469) 524-1506

Reviews and Comments

Physical Therapist in Irving, TX

Peter Zatezalo, DPT, OCS, COMT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5001 Statesman Dr, Irving, TX 75063 Phone: 469-524-1506
Mary Elizabeth Vandeven, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5001 Statesman Dr, Irving, TX 75063 Phone: 800-788-4815
Toni Bernett Lindsey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6750 N Macarthur Blvd, Irving, TX 75039 Phone: 972-969-2140
Seth Manly, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 N Macarthur Blvd, Suite 550, Irving, TX 75061 Phone: 972-579-4398
Christy Coppolo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5001 Statesman Dr, Irving, TX 75063 Phone: 800-788-4815
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 N Macarthur Blvd, Irving, TX 75061 Phone: 972-887-3318 Fax: 972-887-3527
Alejandra Maria Ordaz, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1431 Greenway Dr Ste 500, Irving, TX 75038 Phone: 210-457-2000

Nicolas Civale, - Medicare Physical Therapist in Irving, TX