Omar Maldonado, in Surprise, AZ - Medicare Physical Therapist Provider

Omar Maldonado, is a medicare enrolled "Physical Therapist" provider in Surprise, Arizona. His current practice location is 15543 N Reems Rd Ste 133, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 975-5374.

Omar Maldonado is licensed to practice in Arizona (license number 033940) 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 1619784089.

Contact Information

	Omar Maldonado,
	15543 N Reems Rd Ste 133, Surprise, AZ 85374-9582
	(623) 975-5374
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Omar Maldonado
Gender	Male
Speciality	Physical Therapist
Location	15543 N Reems Rd Ste 133, Surprise, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619784089
Provider Enumeration Date: 12/18/2024
Last Update Date: 12/18/2024

Medicare PECOS Information:

PECOS PAC ID: 8820526064
Enrollment ID: I20250115001964

Medical Identifiers

Medical identifiers for Omar Maldonado such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619784089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	033940 (Arizona)	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. Omar Maldonado allows following entities to bill medicare on his behalf.

Provider Name	Foothills Sports Medicine & Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558318170 PECOS PAC ID: 2668457979 Enrollment ID: O20040621001886

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. Omar Maldonado 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
Omar Maldonado, 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (726) 202-3039	Omar Maldonado, 15543 N Reems Rd Ste 133, Surprise, AZ 85374-9582 Ph: (623) 975-5374

Reviews and Comments

Physical Therapist in Surprise, AZ

Ashley Rubenstein, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14239 W Bell Rd Ste 104, Surprise, AZ 85374 Phone: 623-600-8333
Christian Klemme, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13951 W Grand Ave Ste 201, Surprise, AZ 85374 Phone: 623-537-9730
Achante' Freenan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17200 W Peoria Ave Ste 122, Surprise, AZ 85388 Phone: 623-274-3018
Dr. Kathleen Nicole Shafer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15543 N Reems Rd, Surprise, AZ 85374 Phone: 623-975-5374
Nicholas Russo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 16811 N Litchfield Rd Ste 101, Surprise, AZ 85374 Phone: 602-313-4045 Fax: 623-322-0664
Northwest Orthopedic & Sports Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 14800 W Mountain View Blvd Ste 260, Surprise, AZ 85374 Phone: 623-556-5013 Fax: 623-556-9290
Elana Trejo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 13933 W Grand Ave, Surprise, AZ 85374 Phone: 623-474-3952

Omar Maldonado, - Medicare Physical Therapist in Surprise, AZ