Thomas Mattingly Mirra, DPT in Goshen, NY - Medicare Physical Therapist Provider

Thomas Mattingly Mirra, DPT is a medicare enrolled "Physical Therapist" provider in Goshen, New York. His current practice location is 30 Hatfield Ln Ste 203, Goshen, New York. You can reach out to his office (for appointments etc.) via phone at (845) 615-2222.

Thomas Mattingly Mirra is licensed to practice in New York (license number 046158) 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 1225623119.

Contact Information

	Thomas Mattingly Mirra, DPT
	30 Hatfield Ln Ste 203, Goshen, NY 10924-6768
	(845) 615-2222
	(845) 615-2224

Map and Direction

Healthcare Provider's Profile

Full Name	Thomas Mattingly Mirra
Gender	Male
Speciality	Physical Therapist
Location	30 Hatfield Ln Ste 203, Goshen, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225623119
Provider Enumeration Date: 03/03/2021
Last Update Date: 03/03/2021

Medicare PECOS Information:

PECOS PAC ID: 7719393354
Enrollment ID: I20210308000399

Medical Identifiers

Medical identifiers for Thomas Mattingly Mirra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225623119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	046158 (New York)	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. Thomas Mattingly Mirra allows following entities to bill medicare on his behalf.

Provider Name	Access Pt, Ot, New York, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831539493 PECOS PAC ID: 3870735897 Enrollment ID: O20130805000042

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. Thomas Mattingly Mirra 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
Thomas Mattingly Mirra, DPT 16 Maybrook Rd, Campbell Hall, NY 10916-2743 Ph: (845) 636-4344	Thomas Mattingly Mirra, DPT 30 Hatfield Ln Ste 203, Goshen, NY 10924-6768 Ph: (845) 615-2222

Reviews and Comments

Physical Therapist in Goshen, NY

Dr. William Douglas Lynch, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 53 Gibson Rd, Goshen, NY 10924 Phone: 845-291-0200
Jill Petry, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Hatfield Ln, Suite 201, Goshen, NY 10924 Phone: 845-294-0779 Fax: 845-294-9497
Mrs. Sonia Nicole Gawronski, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46 Harriman Dr, Goshen, NY 10924 Phone: 845-360-1200 Fax: 845-615-2224
Marlene A Janker, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Hatfield Ln, Suite 201, Goshen, NY 10924 Phone: 845-291-3665 Fax: 845-291-8743
Gregory Redding, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Hatfield Ln, Suite 203, Goshen, NY 10924 Phone: 845-615-2222
Nancy Dolin, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Fletcher St, Goshen, NY 10924 Phone: 845-294-8806 Fax: 845-294-8650
Mrs. Elizabeth G Higgins, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 53 Gibson Rd, Goshen, NY 10924 Phone: 845-291-0200 Fax: 845-291-0279

Thomas Mattingly Mirra, DPT - Medicare Physical Therapist in Goshen, NY