Shelly Fonseca, in Lutz, FL - Medicare Physical Therapist Provider

Shelly Fonseca, is a medicare enrolled "Physical Therapist" provider in Lutz, Florida. Her current practice location is 19008 Avenue Bayonnes, Lutz, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 469-5014.

Shelly Fonseca is licensed to practice in Florida (license number 10331) 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 1174060305.

Contact Information

	Shelly Fonseca,
	19008 Avenue Bayonnes, Lutz, FL 33558-5356
	(305) 469-5014
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelly Fonseca
Gender	Female
Speciality	Physical Therapist
Location	19008 Avenue Bayonnes, Lutz, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174060305
Provider Enumeration Date: 01/26/2017
Last Update Date: 01/26/2017

Medicare PECOS Information:

PECOS PAC ID: 5698052751
Enrollment ID: I20170427002551

Medical Identifiers

Medical identifiers for Shelly Fonseca such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174060305	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	10331 (Florida)	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. Shelly Fonseca allows following entities to bill medicare on her behalf.

Provider Name	Florida Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114542032 PECOS PAC ID: 3779991559 Enrollment ID: O20210415001126

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. Shelly Fonseca 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
Shelly Fonseca, 19008 Avenue Bayonnes, Lutz, FL 33558-5356 Ph: (305) 469-5014	Shelly Fonseca, 19008 Avenue Bayonnes, Lutz, FL 33558-5356 Ph: (305) 469-5014

Reviews and Comments

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Shelly Fonseca, - Medicare Physical Therapist in Lutz, FL