Aditi Suryakant Datta, PT in South Bend, IN - Medicare Physical Therapist Provider

Aditi Suryakant Datta, PT is a medicare enrolled "Physical Therapist" provider in South Bend, Indiana. Her current practice location is 4600 W Washington St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 282-1294.

Aditi Suryakant Datta is licensed to practice in Indiana (license number 05010293A) 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 1265123152.

Contact Information

	Aditi Suryakant Datta, PT
	4600 W Washington St, South Bend, IN 46619-2320
	(574) 282-1294
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Aditi Suryakant Datta
Gender	Female
Speciality	Physical Therapist
Location	4600 W Washington St, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265123152
Provider Enumeration Date: 05/19/2023
Last Update Date: 05/19/2023

Medicare PECOS Information:

PECOS PAC ID: 7810355989
Enrollment ID: I20230621003208

Medical Identifiers

Medical identifiers for Aditi Suryakant Datta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265123152	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05010293A (Indiana)	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. Aditi Suryakant Datta allows following entities to bill medicare on her behalf.

Provider Name	Creative Health Care Management Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1053833657 PECOS PAC ID: 6507832573 Enrollment ID: O20171009003264

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. Aditi Suryakant Datta 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
Aditi Suryakant Datta, PT 402 W Grove St, Mishawaka, IN 46545-6044 Ph: (817) 733-6708	Aditi Suryakant Datta, PT 4600 W Washington St, South Bend, IN 46619-2320 Ph: (574) 282-1294

Reviews and Comments

Physical Therapist in South Bend, IN

Nicholas Bugbee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1005 N Hickory Rd, South Bend, IN 46615 Phone: 574-233-5754
Corie R Butcher, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 411 E Ireland Rd Ste 400, South Bend, IN 46614 Phone: 574-231-8950 Fax: 574-231-8955
Kathryn Blum, D.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1005 N Hickory Rd, South Bend, IN 46615 Phone: 574-233-5754
Jessica A. Preissing, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442
Kathryn L. Werda, MSPT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Suite 430, South Bend, IN 46635 Phone: 574-968-8251 Fax: 574-968-2855
John Mihay, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441
Mr. Walter Joy Manit, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 52654 Ironwood Rd, South Bend, IN 46635 Phone: 574-277-8710

Aditi Suryakant Datta, PT - Medicare Physical Therapist in South Bend, IN