Sidney Srivibul, in Keystone Heights, FL - Medicare Physical Therapist Provider

Sidney Srivibul, is a medicare enrolled "Physical Therapist" provider in Keystone Heights, Florida. Her current practice location is 465 S Lawrence Blvd, Keystone Heights, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 473-7560.

Sidney Srivibul is licensed to practice in Florida (license number PT36143) 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 1518578038.

Contact Information

	Sidney Srivibul,
	465 S Lawrence Blvd, Keystone Heights, FL 32656-9222
	(352) 473-7560
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sidney Srivibul
Gender	Female
Speciality	Physical Therapist
Location	465 S Lawrence Blvd, Keystone Heights, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518578038
Provider Enumeration Date: 08/10/2020
Last Update Date: 06/26/2024

Medicare PECOS Information:

PECOS PAC ID: 8426598798
Enrollment ID: I20240912004317

Medical Identifiers

Medical identifiers for Sidney Srivibul such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518578038	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT36143 (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. Sidney Srivibul allows following entities to bill medicare on her behalf.

Provider Name	Physiotherapy Associates Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952348419 PECOS PAC ID: 3577470442 Enrollment ID: O20160330001796

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. Sidney Srivibul 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
Sidney Srivibul, 2961 Ne 185th St, Starke, FL 32091-5338 Ph: () -	Sidney Srivibul, 465 S Lawrence Blvd, Keystone Heights, FL 32656-9222 Ph: (352) 473-7560

Reviews and Comments

Physical Therapist in Keystone Heights, FL

Marissa Catlin-evans, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7237 Stricklin Ln, Keystone Heights, FL 32656 Phone: 352-359-2299 Fax: 352-475-5796
Mrs. Angela Stanley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 S Lawrence Blvd, Keystone Heights, FL 32656 Phone: 352-473-7560 Fax: 352-473-7566
Mr. Dustin Clay, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 S Lawrence Blvd, Keystone Heights, FL 32656 Phone: 352-473-7560 Fax: 352-473-7566
Lake Area Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 S Lawrence Blvd, Keystone Heights, FL 32656 Phone: 352-473-7560 Fax: 352-473-7566
Lauren Ashlee Hughes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 465 S. Lawrence Blvd., Keystone Heights, FL 32656 Phone: 352-473-7560 Fax: 352-473-7566

Sidney Srivibul, - Medicare Physical Therapist in Keystone Heights, FL