Xiaoxia Gao, PT is a medicare enrolled "Physical Therapist" provider in Ronkonkoma, New York. Her current practice location is
640 Hawkins Ave, Ronkonkoma, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 737-0100.
Xiaoxia Gao is licensed to practice in New York (license number 62035271) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750552618.
Healthcare Provider's Profile
| Full Name | Xiaoxia Gao |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 640 Hawkins Ave, Ronkonkoma, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750552618
- Provider Enumeration Date: 03/19/2008
- Last Update Date: 09/18/2012
Medicare PECOS Information:
- PECOS PAC ID: 1759534746
- Enrollment ID: I20121222000007
Medical Identifiers
Medical identifiers for Xiaoxia Gao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750552618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 003052-1 (New York) | Secondary |
| 225100000X | Physical Therapist | 62035271 (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. Xiaoxia Gao allows following entities to bill medicare on her behalf.
| Provider Name | Premier East Physical Medicine And Rehabilitation, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275829202
PECOS PAC ID: 6002086543
Enrollment ID: O20110819000187 |
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| Provider Name | Advantagecare Physicians Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1336578772
PECOS PAC ID: 2365735008
Enrollment ID: O20160719000446 |
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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. Xiaoxia Gao 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 |
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Xiaoxia Gao, PT
20 Peachtree Ct, Suite 105,
Holbrook, NY 11741-4616
Ph: (631) 467-3700 | Xiaoxia Gao, PT
640 Hawkins Ave,
Ronkonkoma, NY 11779-2324
Ph: (631) 737-0100 |
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