Dr Dylan Samuel Mutchler, PT, DPT, CSCS is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Del Mar, California. His current practice location is
2690 Via De La Valle Ste D160, Del Mar, California. You can reach out to his office (for appointments etc.) via phone at
(858) 290-0855.
Dr Dylan Samuel Mutchler is licensed to practice in California (license number 305787) 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 1558120881.
Physician's Profile
| Full Name | Dr Dylan Samuel Mutchler |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2690 Via De La Valle Ste D160, Del Mar, California |
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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: 1558120881
- Provider Enumeration Date: 03/18/2024
- Last Update Date: 03/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486188125
- Enrollment ID: I20241118000482
Medical Identifiers
Medical identifiers for Dr Dylan Samuel Mutchler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558120881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 305787 (California) | 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. Dr Dylan Samuel Mutchler allows following entities to bill medicare on his behalf.
| Entity Name | Bespoke San Diego Physical Therapy Pc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1245847540
PECOS PAC ID: 7012388168
Enrollment ID: O20230127000545 |
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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. Dr Dylan Samuel Mutchler 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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Dr Dylan Samuel Mutchler, PT, DPT, CSCS
936 Rogers St,
Bucyrus, OH 44820-2743
Ph: () - | Dr Dylan Samuel Mutchler, PT, DPT, CSCS
2690 Via De La Valle Ste D160,
Del Mar, CA 92014-1991
Ph: (858) 290-0855 |
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