Yannis Emmanuel Mavrommatakis, DPT, PHD in Bellevue, WA - Medicare Physical Therapist Provider

Yannis Emmanuel Mavrommatakis, DPT, PHD is a medicare enrolled "Physical Therapist" provider in Bellevue, Washington. His current practice location is 110 110th Ave Ne, Bellevue, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 628-2072.

Yannis Emmanuel Mavrommatakis is licensed to practice in Washington (license number PT61160514) 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 1356867428.

Contact Information

	Yannis Emmanuel Mavrommatakis, DPT, PHD
	110 110th Ave Ne, Bellevue, WA 98004-5828
	(425) 628-2072
	(425) 628-2072

Map and Direction

Healthcare Provider's Profile

Full Name	Yannis Emmanuel Mavrommatakis
Gender	Male
Speciality	Physical Therapist
Location	110 110th Ave Ne, Bellevue, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356867428
Provider Enumeration Date: 08/20/2017
Last Update Date: 08/22/2022

Medicare PECOS Information:

PECOS PAC ID: 2163796319
Enrollment ID: I20211007003562

Medical Identifiers

Medical identifiers for Yannis Emmanuel Mavrommatakis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356867428	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	041916 (New York)	Secondary
225100000X	Physical Therapist	PT61160514 (Washington)	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. Yannis Emmanuel Mavrommatakis allows following entities to bill medicare on his behalf.

Provider Name	Everett Physical Therapy And Sport Performance Center Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699713370 PECOS PAC ID: 3779475181 Enrollment ID: O20040329000985

Provider Name	Timberline Rehabilitation Service, Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427237619 PECOS PAC ID: 3476641929 Enrollment ID: O20071116000045

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. Yannis Emmanuel Mavrommatakis 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
Yannis Emmanuel Mavrommatakis, DPT, PHD 2506 281st Ave Ne, Redmond, WA 98053-3119 Ph: (917) 332-8437	Yannis Emmanuel Mavrommatakis, DPT, PHD 110 110th Ave Ne, Bellevue, WA 98004-5828 Ph: (425) 628-2072

Reviews and Comments

Physical Therapist in Bellevue, WA

Kay Wieben, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1035 116th Ave Ne, Bellevue, WA 98004 Phone: 425-688-5860
Mike B Hearron, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1188 106th Ave Ne, Suite 100, Bellevue, WA 98004 Phone: 425-455-2630 Fax: 425-451-4390
Olympic Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1188 106th Ave Ne, Suite 100, Bellevue, WA 98004 Phone: 425-455-2630 Fax: 425-646-3901
Julie L Lampson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1188 106th Ave Ne, Suite 100, Bellevue, WA 98004 Phone: 425-455-2630 Fax: 425-451-4390
Ms. Lynne Maureen Robinson, PT, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12432 Se 25th Pl, Bellevue, WA 98005 Phone: 425-445-2767 Fax: 425-641-1005
Jessica Elizabeth Digiacomo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14100 Se 36th St Ste 210, Bellevue, WA 98006 Phone: 425-653-7100 Fax: 425-653-7109
Mrs. Alice G. Schoos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1605 116th Ave Ne, Suite 110, Bellevue, WA 98004 Phone: 425-450-9801 Fax: 425-450-9778

Yannis Emmanuel Mavrommatakis, DPT, PHD - Medicare Physical Therapist in Bellevue, WA