Celina Liehla Goncalves, DPT is a medicare enrolled "Physical Therapist - Pediatrics" physician in Worcester, Massachusetts. Her current practice location is
55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(774) 441-8052.
Celina Liehla Goncalves is licensed to practice in Massachusetts (license number 25039) 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 1679246110.
Physician's Profile
| Full Name | Celina Liehla Goncalves |
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| Gender | Female |
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| Speciality | Physical Therapist - Pediatrics |
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| Location | 55 Lake Ave N, Worcester, Massachusetts |
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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: 1679246110
- Provider Enumeration Date: 07/30/2021
- Last Update Date: 12/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476951013
- Enrollment ID: I20211012001178
Medical Identifiers
Medical identifiers for Celina Liehla Goncalves such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679246110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 25039 (Massachusetts) | Secondary |
| 225100000X | Physical Therapist | 25039 (Massachusetts) | Secondary |
| 2251P0200X | Physical Therapist - Pediatrics | 25039 (Massachusetts) | 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. Celina Liehla Goncalves allows following entities to bill medicare on her behalf.
| Entity Name | Umass Memorial Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267 |
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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. Celina Liehla Goncalves 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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Celina Liehla Goncalves, DPT
Po Box 415348,
Boston, MA 02241-5348
Ph: (800) 225-8885 | Celina Liehla Goncalves, DPT
55 Lake Ave N,
Worcester, MA 01655-0002
Ph: (774) 441-8052 |
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