Revitalife PT LLC - Medicare Primary Care in Mendon, MA

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Revitalife PT LLC is a medicare enrolled primary clinic (Clinic/center) in Mendon, Massachusetts. The current practice location for Revitalife PT LLC is 3 Pond St, Mendon, Massachusetts. For appointments, you can reach them via phone at (774) 293-8674. The mailing address for Revitalife PT LLC is 3 Pond St, Mendon, Massachusetts.

Revitalife PT LLC is licensed to practice in NU (license number ). The clinic also participates in the medicare program and its NPI number is 1225868680. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (774) 293-8674.

Contact Information

Revitalife PT LLC
3 Pond St
Mendon
MA 01756-4500
(774) 293-8674
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameRevitalife PT LLC
SpecialityClinic/Center
Location3 Pond St, Mendon, Massachusetts
Authorized Official Name and PositionMitali Mohanan (PT)
Authorized Official Contact7742938674
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Revitalife PT LLC
3 Pond St
Mendon
MA 01756-4500
Revitalife PT LLC
3 Pond St
Mendon
MA 01756-4500

Ph: (774) 293-8674

NPI Details:

NPI Number1225868680
Provider Enumeration Date08/01/2024
Last Update Date08/01/2024
Certification Date08/01/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4789122417
Medicare Enrollment IDO20240813003179

Medical Identifiers

Medical identifiers for Revitalife PT LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225868680NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (NU)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Revitalife PT LLC acts as a billing entity for following providers:
Provider NameMitali Mohanan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255182036
PECOS PAC ID: 5698213320
Enrollment ID: I20240813003237

Reviews and Comments


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.