Sean Mark Labastida Superticioso, PT in Crystal Lake, IL - Medicare Physical Therapist In Private Practice Provider

Sean Mark Labastida Superticioso, PT is a medicare enrolled "Physical Therapist" provider in Crystal Lake, Illinois. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Crystal Lake Physical Therapy Inc and his current practice location is 1 S Virginia St, Crystal Lake, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 356-9371.

Sean Mark Labastida Superticioso is licensed to practice in Illinois (license number 070024159) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497217350.

Contact Information

	Sean Mark Labastida Superticioso, PT
	1 S Virginia St, Crystal Lake, IL 60014-5828
	(815) 356-9371
	(815) 356-9428

Map and Direction

Healthcare Provider's Profile

Full Name	Sean Mark Labastida Superticioso
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	9 Years
Location	1 S Virginia St, Crystal Lake, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sean Mark Labastida Superticioso graduated from medical school in 2017

NPI Data:

NPI Number: 1497217350
Provider Enumeration Date: 04/01/2019
Last Update Date: 04/01/2019

Medicare PECOS Information:

PECOS PAC ID: 6305188921
Enrollment ID: I20190501002084

Medical Identifiers

Medical identifiers for Sean Mark Labastida Superticioso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497217350	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070024159 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crystal Lake Physical Therapy Inc	1254636491	5

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. Sean Mark Labastida Superticioso allows following entities to bill medicare on his behalf.

Provider Name	Comprehensive Therapeutics Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663

Provider Name	Crystal Lake Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1326404682 PECOS PAC ID: 1254636491 Enrollment ID: O20160225000731

Provider Name	Aranem Incorporated
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063963908 PECOS PAC ID: 9234410432 Enrollment ID: O20161230000979

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. Sean Mark Labastida Superticioso 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
Sean Mark Labastida Superticioso, PT 1 S Virginia St, Crystal Lake, IL 60014-5828 Ph: (815) 356-9371	Sean Mark Labastida Superticioso, PT 1 S Virginia St, Crystal Lake, IL 60014-5828 Ph: (815) 356-9371

Reviews and Comments

Physical Therapist in Crystal Lake, IL

Wendy Fritz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Lane; Suite 170, Centegra Health System: Neuro-rehabilitation Center, Crystal Lake, IL 60014 Phone: 815-356-2700
Peyton Flynn, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1095 Pingree Rd Ste 209, Crystal Lake, IL 60014 Phone: 847-458-8890
Mrs. Lori Ann Bright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1629 Rolling Hills Dr, Crystal Lake, IL 60014 Phone: 847-669-8008
Evan R Corsolini, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 407 E Congress Pkwy Ste C, Crystal Lake, IL 60014 Phone: 847-987-5085 Fax: 847-462-0755
Nelle Link, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Northwest Hwy, Crystal Lake, IL 60014 Phone: 815-455-7800 Fax: 815-455-1299
Tcm Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4421 S Nancy Dr, Crystal Lake, IL 60014 Phone: 815-245-3845
Ms. Gina Huber, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 E Congress Pkwy, Crystal Lake, IL 60014 Phone: 815-477-4348 Fax: 815-477-5828

Sean Mark Labastida Superticioso, PT - Medicare Physical Therapist in Crystal Lake, IL