Praveen Kumar Boddu, in Poughkeepsie, NY - Medicare Physical Therapist Provider

Praveen Kumar Boddu, is a medicare enrolled "Physical Therapist" provider in Poughkeepsie, New York. His current practice location is 1 Civic Center Plz Ste 107, Poughkeepsie, New York. You can reach out to his office (for appointments etc.) via phone at (713) 452-9941.

Praveen Kumar Boddu is licensed to practice in New York (license number 045821) 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 1891490868.

Contact Information

	Praveen Kumar Boddu,
	1 Civic Center Plz Ste 107, Poughkeepsie, NY 12601-3158
	(713) 452-9941
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Praveen Kumar Boddu
Gender	Male
Speciality	Physical Therapist
Location	1 Civic Center Plz Ste 107, Poughkeepsie, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891490868
Provider Enumeration Date: 03/31/2023
Last Update Date: 03/31/2023

Medicare PECOS Information:

PECOS PAC ID: 5799133039
Enrollment ID: I20231128001707

Medical Identifiers

Medical identifiers for Praveen Kumar Boddu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891490868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	045821 (New York)	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. Praveen Kumar Boddu allows following entities to bill medicare on his behalf.

Provider Name	Advance Therapy, Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1710187737 PECOS PAC ID: 6507831773 Enrollment ID: O20120502000743

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. Praveen Kumar Boddu 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
Praveen Kumar Boddu, 1 Civic Center Plz Ste 107, Poughkeepsie, NY 12601-3158 Ph: (713) 452-9941	Praveen Kumar Boddu, 1 Civic Center Plz Ste 107, Poughkeepsie, NY 12601-3158 Ph: (713) 452-9941

Reviews and Comments

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Praveen Kumar Boddu, - Medicare Physical Therapist in Poughkeepsie, NY