Theodore Alden Kwong, in Santa Clara, CA - Medicare Physical Therapist Provider

Theodore Alden Kwong, is a medicare enrolled "Physical Therapist" provider in Santa Clara, California. His current practice location is 710 Lawrence Expy Dept 174, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at (408) 366-4200.

Theodore Alden Kwong is licensed to practice in * (Not Available) (license number ) 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 1073245494.

Contact Information

	Theodore Alden Kwong,
	710 Lawrence Expy Dept 174, Santa Clara, CA 95051-5173
	(408) 366-4200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theodore Alden Kwong
Gender	Male
Speciality	Physical Therapist
Location	710 Lawrence Expy Dept 174, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073245494
Provider Enumeration Date: 06/24/2022
Last Update Date: 12/09/2022

Medicare PECOS Information:

PECOS PAC ID: 8820465305
Enrollment ID: I20221114001626

Medical Identifiers

Medical identifiers for Theodore Alden Kwong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073245494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Theodore Alden Kwong allows following entities to bill medicare on his behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Provider Name	California Luna Care Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123

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. Theodore Alden Kwong 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
Theodore Alden Kwong, 710 Lawrence Expy Dept 174, Santa Clara, CA 95051-5173 Ph: (669) 300-9112	Theodore Alden Kwong, 710 Lawrence Expy Dept 174, Santa Clara, CA 95051-5173 Ph: (408) 366-4200

Reviews and Comments

Physical Therapist in Santa Clara, CA

Mrs. Bridget M. Bouyssounouse, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Dept. #174, Santa Clara, CA 95051 Phone: 408-851-1466
Karissa Taan, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1492
Darlene Alexandria Remo Villatuya, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy Dept 174, Santa Clara, CA 95051 Phone: 408-851-1400
Chelsea Bendebel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 Lafayette St Ste 105, Santa Clara, CA 95050 Phone: 408-293-7794
Dr. James Purayampallil Gipson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1026 Monroe St, Santa Clara, CA 95050 Phone: 408-246-5861
Brooke Noelle Strishock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Dept 174, Santa Clara, CA 95051 Phone: 408-851-4000
Linda Trinh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1400

Theodore Alden Kwong, - Medicare Physical Therapist in Santa Clara, CA