Seraphina Provenzano, DPT in Dearborn, MI - Medicare Physical Therapist Provider

Seraphina Provenzano, DPT is a medicare enrolled "Physical Therapist" provider in Dearborn, Michigan. Her current practice location is 5500 Auto Club Dr, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 982-8266.

Seraphina Provenzano is licensed to practice in Michigan (license number 5501301928) 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 1053049510.

Contact Information

	Seraphina Provenzano, DPT
	5500 Auto Club Dr, Dearborn, MI 48126-2779
	(313) 982-8266
	(313) 982-8098

Map and Direction

Healthcare Provider's Profile

Full Name	Seraphina Provenzano
Gender	Female
Speciality	Physical Therapist
Location	5500 Auto Club Dr, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053049510
Provider Enumeration Date: 08/12/2022
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0941683346
Enrollment ID: I20220817003690

Medical Identifiers

Medical identifiers for Seraphina Provenzano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053049510	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501301928 (Michigan)	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. Seraphina Provenzano allows following entities to bill medicare on her behalf.

Provider Name	Team Rehabilitation Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548932619 PECOS PAC ID: 2264479518 Enrollment ID: O20211027001883

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. Seraphina Provenzano 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
Seraphina Provenzano, DPT 1 Ford Pl, Detroit, MI 48202-3450 Ph: () -	Seraphina Provenzano, DPT 5500 Auto Club Dr, Dearborn, MI 48126-2779 Ph: (313) 982-8266

Reviews and Comments

Physical Therapist in Dearborn, MI

Healthwise Physical Therapy Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5445 Oakman Blvd, Dearborn, MI 48126 Phone: 313-584-4625 Fax: 313-584-4628
Dr. Zarine Minwalla, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 20251 Carlysle St, Dearborn, MI 48124 Phone: 313-278-4601
Sara Michelle Ryder, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23852 Michigan Ave, Dearborn, MI 48124 Phone: 313-565-4222 Fax: 313-565-8703
Anu Thomas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21031 Michigan Ave Ste C, Dearborn, MI 48124 Phone: 313-565-2224
Muhammad Amin Anjum, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5445 Oakman Blvd, Dearborn, MI 48126 Phone: 313-581-7971 Fax: 313-581-8028
Patricia Stefanek, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7760
Mrs. Kevy Elizabeth Nycek, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18501 Rotunda Dr Ste 200, Dearborn, MI 48124 Phone: 313-996-1928

Seraphina Provenzano, DPT - Medicare Physical Therapist in Dearborn, MI