Bayside Acupuncture & Physical Therapy Pllc is a medicare enrolled "Physical Therapist" provider in Bayside, New York. Their current practice location is
20801 Northern Blvd Ste 301, Bayside, New York. You can reach out to their office (for appointments etc.) via phone at
(718) 224-2250.
Bayside Acupuncture & Physical Therapy Pllc is licensed to practice in New York (license number 034901) and it also participates in the medicare program. Bayside Acupuncture & Physical Therapy Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1205364239.
Healthcare Provider's Profile
| Full Name | Bayside Acupuncture & Physical Therapy Pllc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 20801 Northern Blvd Ste 301, Bayside, New York |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205364239
- Provider Enumeration Date: 06/04/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284904426
- Enrollment ID: O20170721000664
Medical Identifiers
Medical identifiers for Bayside Acupuncture & Physical Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205364239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 005738 (New York) | Secondary |
| 225100000X | Physical Therapist | 034901 (New York) | Primary |
| 225700000X | Massage Therapist | 027555 (New York) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Bayside Acupuncture & Physical Therapy Pllc acts as a billing entity for following providers:
| Provider Name | Jaehyun Park |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1114706082
PECOS PAC ID: 7517306517
Enrollment ID: I20240423002945 |
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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. Bayside Acupuncture & Physical Therapy Pllc 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 |
|---|
Bayside Acupuncture & Physical Therapy Pllc
20801 Northern Blvd Ste 301,
Bayside, NY 11361-3118
Ph: (718) 224-2250 | Bayside Acupuncture & Physical Therapy Pllc
20801 Northern Blvd Ste 301,
Bayside, NY 11361-3118
Ph: (718) 224-2250 |
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