Mrs Priscilla Jaime Fotos, is a medicare enrolled "Physical Therapist" physician in Oviedo, Florida. Her current practice location is
1037 Weaver Dr, Oviedo, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 319-4619.
Mrs Priscilla Jaime Fotos is licensed to practice in Florida (license number PT34218) 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 1033680848.
Physician's Profile
Full Name | Mrs Priscilla Jaime Fotos |
---|
Gender | Female |
---|
Speciality | Physical Therapist |
---|
Location | 1037 Weaver Dr, Oviedo, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033680848
- Provider Enumeration Date: 12/06/2018
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416294012
- Enrollment ID: I20210726000011
Medical Identifiers
Medical identifiers for Mrs Priscilla Jaime Fotos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033680848 | NPI | - | NPPES |
PT34218 | Other | FL | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | PT34218 (Florida) | Secondary |
225100000X | Physical Therapist | PT34218 (Florida) | Primary |
225100000X | Physical Therapist | 299214 (California) | Secondary |
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. Mrs Priscilla Jaime Fotos allows following entities to bill medicare on her behalf.
Entity Name | North Carolina Luna Care Physical Therapy Llc |
---|
Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
---|
Entity Identifiers | NPI Number: 1124626148 PECOS PAC ID: 8921418757 Enrollment ID: O20210119001592 |
---|
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. Mrs Priscilla Jaime Fotos 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 |
Mrs Priscilla Jaime Fotos, 1037 Weaver Dr, Oviedo, FL 32765-7028 Ph: (407) 319-4619 | Mrs Priscilla Jaime Fotos, 1037 Weaver Dr, Oviedo, FL 32765-7028 Ph: (407) 319-4619 |
Reviews and Comments