Alan De Vera, PT, DPT in Morro Bay, CA - Medicare Physical Therapist Provider

Alan De Vera, PT, DPT is a medicare enrolled "Physical Therapist" provider in Morro Bay, California. His current practice location is 890 Shasta Ave, Morro Bay, California. You can reach out to his office (for appointments etc.) via phone at (805) 772-4325.

Alan De Vera is licensed to practice in California (license number PT302453) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639807670.

Contact Information

	Alan De Vera, PT, DPT
	890 Shasta Ave, Morro Bay, CA 93442-1933
	(805) 772-4325
	(805) 772-2886

Map and Direction

Healthcare Provider's Profile

Full Name	Alan De Vera
Gender	Male
Speciality	Physical Therapist
Location	890 Shasta Ave, Morro Bay, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639807670
Provider Enumeration Date: 08/09/2022
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2668855701
Enrollment ID: I20220823000258

Medical Identifiers

Medical identifiers for Alan De Vera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639807670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT302453 (California)	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. Alan De Vera allows following entities to bill medicare on his behalf.

Provider Name	San Luis Physical Therapy & Orthopedic Rehabilitation Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073552378 PECOS PAC ID: 7618872946 Enrollment ID: O20040117000206

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. Alan De Vera 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
Alan De Vera, PT, DPT 408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135 Ph: (805) 788-0805	Alan De Vera, PT, DPT 890 Shasta Ave, Morro Bay, CA 93442-1933 Ph: (805) 772-4325

Reviews and Comments

Physical Therapist in Morro Bay, CA

Marissa Marie Cotroneo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886
Stephen Kerr, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358
Lois Boulgarides, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358
Michael James Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886
Halie Gordon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358
Eric Balash, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886
Dr. Alec Shahen Andoyan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358

Alan De Vera, PT, DPT - Medicare Physical Therapist in Morro Bay, CA