Stephanie Ingrid B Gumban, PT is a medicare enrolled "Physical Therapist" physician in Little Falls, New Jersey. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Bergen Medical Sports And Spine, Inc. and her current practice location is
201 Lower Notch Rd # A3, Little Falls, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 837-6600.
Stephanie Ingrid B Gumban is licensed to practice in New Jersey (license number 40QA01758700) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609387000.
Physician's Profile
Full Name | Stephanie Ingrid B Gumban |
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Gender | Female |
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Speciality | Physical Therapy |
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Experience | 11 Years |
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Location | 201 Lower Notch Rd # A3, Little Falls, New Jersey |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Stephanie Ingrid B Gumban graduated from medical school in 2013
NPI Data:
- NPI Number: 1609387000
- Provider Enumeration Date: 10/12/2017
- Last Update Date: 06/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 6204199920
- Enrollment ID: I20180411001342
Medical Identifiers
Medical identifiers for Stephanie Ingrid B Gumban such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609387000 | NPI | - | NPPES |
1609387000 | Other | | NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 40QA01758700 (New Jersey) | Secondary |
225100000X | Physical Therapist | 40QA01758700 (New Jersey) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bergen Medical Sports And Spine, Inc. | 8022203033 | 11 |
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. Stephanie Ingrid B Gumban allows following entities to bill medicare on her behalf.
Entity Name | Bergen Medical Sports & Spine, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962722595 PECOS PAC ID: 8022203033 Enrollment ID: O20101116000078 |
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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. Stephanie Ingrid B Gumban 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 |
Stephanie Ingrid B Gumban, PT 201 Lower Notch Rd # A3, Little Falls, NJ 07424-1802 Ph: (973) 837-6600 | Stephanie Ingrid B Gumban, PT 201 Lower Notch Rd # A3, Little Falls, NJ 07424-1802 Ph: (973) 837-6600 |
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