Princess Roma Resplandor Malilim, in Tustin, CA - Medicare Physical Therapist Provider

Princess Roma Resplandor Malilim, is a medicare enrolled "Physical Therapist" provider in Tustin, California. Her current practice location is 2205 Carob Way, Tustin, California. You can reach out to her office (for appointments etc.) via phone at (714) 224-8339.

Princess Roma Resplandor Malilim is licensed to practice in California (license number 32112) 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 1043346117.

Contact Information

	Princess Roma Resplandor Malilim,
	2205 Carob Way, Tustin, CA 92782-8355
	(714) 224-8339
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Princess Roma Resplandor Malilim
Gender	Female
Speciality	Physical Therapist
Location	2205 Carob Way, Tustin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043346117
Provider Enumeration Date: 02/25/2007
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 0547602179
Enrollment ID: I20240528001783

Medical Identifiers

Medical identifiers for Princess Roma Resplandor Malilim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043346117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	32112 (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. Princess Roma Resplandor Malilim allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Princess Roma Resplandor Malilim 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
Princess Roma Resplandor Malilim, 2205 Carob Way, Tustin, CA 92782-8355 Ph: (714) 224-8339	Princess Roma Resplandor Malilim, 2205 Carob Way, Tustin, CA 92782-8355 Ph: (714) 224-8339

Reviews and Comments

Physical Therapist in Tustin, CA

Mr. Kenneth Randy Pinkerton, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 365 W 1st St, Tustin, CA 92780 Phone: 714-544-5565 Fax: 714-544-5570
John Djerbaka, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17251 17th St, Ste. A&b, Tustin, CA 92780 Phone: 714-832-2273 Fax: 714-832-2272
Rachel Libonati, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2492 Walnut Ave, #140, Tustin, CA 92780 Phone: 714-544-2188
Mr. Alex Keuilian, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13931 Carroll Way Ste B, Tustin, CA 92780 Phone: 714-988-8120 Fax: 714-988-8119
Jessica Phung, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2552 Walnut Ave Ste 130, Tustin, CA 92780 Phone: 714-508-1600
Rehab And Revive Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3002 Dow Ave Ste 506, Tustin, CA 92780 Phone: 714-900-3880 Fax: 714-731-0932

Princess Roma Resplandor Malilim, - Medicare Physical Therapist in Tustin, CA