Adesola Abigail Tella, DPT in Brooklyn, NY - Medicare Physical Therapist Provider

Adesola Abigail Tella, DPT is a medicare enrolled "Physical Therapist" provider in Brooklyn, New York. Her current practice location is 4319 Church Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (347) 351-5869.

Adesola Abigail Tella is licensed to practice in New York (license number 028818) 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 1336355080.

Contact Information

	Adesola Abigail Tella, DPT
	4319 Church Ave, Brooklyn, NY 11203-3101
	(347) 351-5869
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Adesola Abigail Tella
Gender	Female
Speciality	Physical Therapist
Location	4319 Church Ave, Brooklyn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336355080
Provider Enumeration Date: 05/16/2007
Last Update Date: 03/21/2017

Medicare PECOS Information:

PECOS PAC ID: 8921388091
Enrollment ID: I20161207000185

Medical Identifiers

Medical identifiers for Adesola Abigail Tella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336355080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	028818 (New York)	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. Adesola Abigail Tella allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Physical Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396799409 PECOS PAC ID: 7012997638 Enrollment ID: O20040723000705

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. Adesola Abigail Tella 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
Adesola Abigail Tella, DPT 353a Monroe St, Brooklyn, NY 11221-1104 Ph: (347) 351-5869	Adesola Abigail Tella, DPT 4319 Church Ave, Brooklyn, NY 11203-3101 Ph: (347) 351-5869

Reviews and Comments

Physical Therapist in Brooklyn, NY

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Adesola Abigail Tella, DPT - Medicare Physical Therapist in Brooklyn, NY