Spencer Gonzaga, in Columbia, MD - Medicare Physical Therapist Provider

Spencer Gonzaga, is a medicare enrolled "Physical Therapist" provider in Columbia, Maryland. His current practice location is 6955 Oakland Mills Rd, Suite E, Columbia, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 979-7171.

Spencer Gonzaga is licensed to practice in Maryland (license number 23120) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962943308.

Contact Information

	Spencer Gonzaga,
	6955 Oakland Mills Rd, Suite E, Columbia, MD 21045-5849
	(443) 979-7171
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Spencer Gonzaga
Gender	Male
Speciality	Physical Therapist
Location	6955 Oakland Mills Rd, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962943308
Provider Enumeration Date: 03/18/2017
Last Update Date: 03/18/2017

Medicare PECOS Information:

PECOS PAC ID: 0244767499
Enrollment ID: I20241230000900

Medical Identifiers

Medical identifiers for Spencer Gonzaga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962943308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	23120 (Maryland)	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. Spencer Gonzaga allows following entities to bill medicare on his behalf.

Provider Name	Johns Hopkins Community Physicians, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065

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. Spencer Gonzaga 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
Spencer Gonzaga, 308 Marasco Ct, Reisterstown, MD 21136-6054 Ph: () -	Spencer Gonzaga, 6955 Oakland Mills Rd, Suite E, Columbia, MD 21045-5849 Ph: (443) 979-7171

Reviews and Comments

Physical Therapist in Columbia, MD

Susannah Lynn Coover, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8885 Centre Park Dr Ste G, Columbia, MD 21045 Phone: 410-730-1275
Performance Physical Therapy And Sports Rehabilitation Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 9194 Red Branch Rd Ste J, Columbia, MD 21045 Phone: 410-997-2585 Fax: 410-997-2586
Mrs. Sandra L Woods, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5500 Knoll North Dr Ste 150, Columbia, MD 21045 Phone: 443-542-0062
Laura Flynn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11085 Little Patuxent Pkwy, Suite 207, Columbia, MD 21044 Phone: 410-884-4111 Fax: 410-884-4113
Ryan Bibeau, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 8895 Mcgaw Rd Ste G, Columbia, MD 21045 Phone: 443-441-0616
Caitlin Elaine Kratz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5435 Beaverkill Rd, Columbia, MD 21044 Phone: 410-740-0883 Fax: 410-740-9970
Loretta Anne Merl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10632 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 410-740-0300

Spencer Gonzaga, - Medicare Physical Therapist in Columbia, MD