Emma Perry Cadwallader, RPT is a medicare enrolled "Physical Therapist" physician in San Luis Obispo, California. Her current practice location is
862 Meinecke Ave Ste 101, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at
(805) 619-0414.
Emma Perry Cadwallader is licensed to practice in California (license number PT305645) 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 1912493768.
Physician's Profile
| Full Name | Emma Perry Cadwallader |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 862 Meinecke Ave Ste 101, San Luis Obispo, 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: 1912493768
- Provider Enumeration Date: 07/05/2018
- Last Update Date: 12/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325494727
- Enrollment ID: I20231020001659
Medical Identifiers
Medical identifiers for Emma Perry Cadwallader such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912493768 | NPI | - | NPPES |
| 147116677 | Other | NY | DRIVER'S LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 24050 (Massachusetts) | Secondary |
| 225100000X | Physical Therapist | PTH8932 (Alabama) | Secondary |
| 225100000X | Physical Therapist | PT305645 (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. Emma Perry Cadwallader allows following entities to bill medicare on her behalf.
| Entity Name | Performance Rehabilitation Of Western New England Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1710919063
PECOS PAC ID: 7911979950
Enrollment ID: O20040810000712 |
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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. Emma Perry Cadwallader 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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Emma Perry Cadwallader, RPT
79 Durland Ave,
Elmira, NY 14905-1938
Ph: (607) 731-4405 | Emma Perry Cadwallader, RPT
862 Meinecke Ave Ste 101,
San Luis Obispo, CA 93405-3702
Ph: (805) 619-0414 |
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