Jon Dal Santo, DPT is a medicare enrolled "Physical Therapist" physician in Crown Point, Indiana. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Lakeshore Bone And Joint Institute, Inc and his current practice location is
11360 Broadway, Crown Point, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 600-4656.
Jon Dal Santo is licensed to practice in Indiana (license number 05013400A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942855218.
Physician's Profile
| Full Name | Jon Dal Santo |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 5 Years |
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| Location | 11360 Broadway, Crown Point, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jon Dal Santo graduated from medical school in 2019
NPI Data:
- NPI Number: 1942855218
- Provider Enumeration Date: 08/05/2019
- Last Update Date: 07/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 8426388760
- Enrollment ID: I20190930000385
Medical Identifiers
Medical identifiers for Jon Dal Santo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942855218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 05013400A (Indiana) | Secondary |
| 225100000X | Physical Therapist | 05013400A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lakeshore Bone And Joint Institute, Inc | 3173500519 | 74 |
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. Jon Dal Santo allows following entities to bill medicare on his behalf.
| Entity Name | Lakeshore Bone & Joint Institute, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508853953
PECOS PAC ID: 3173500519
Enrollment ID: O20040702000362 |
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| Entity Name | Community Care Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457610487
PECOS PAC ID: 3678737012
Enrollment ID: O20120614000331 |
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| Entity Name | Mk Orthopedics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306470398
PECOS PAC ID: 4082045190
Enrollment ID: O20200505001751 |
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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. Jon Dal Santo 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 |
|---|
Jon Dal Santo, DPT
11360 Broadway,
Crown Point, IN 46307-7197
Ph: (219) 600-4656 | Jon Dal Santo, DPT
11360 Broadway,
Crown Point, IN 46307-7197
Ph: (219) 600-4656 |
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