Aleksandr Zhidetskiy, DPT in Long Beach, CA - Medicare Physical Therapist Provider

Aleksandr Zhidetskiy, DPT is a medicare enrolled "Physical Therapist" provider in Long Beach, California. His current practice location is 355 Coronado Ave, Apt 17, Long Beach, California. You can reach out to his office (for appointments etc.) via phone at (562) 761-9942.

Aleksandr Zhidetskiy is licensed to practice in California (license number 292371) 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 1215474440.

Contact Information

	Aleksandr Zhidetskiy, DPT
	355 Coronado Ave, Apt 17, Long Beach, CA 90814-2671
	(562) 761-9942
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Aleksandr Zhidetskiy
Gender	Male
Speciality	Physical Therapist
Location	355 Coronado Ave, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215474440
Provider Enumeration Date: 01/25/2017
Last Update Date: 01/25/2017

Medicare PECOS Information:

PECOS PAC ID: 1850667304
Enrollment ID: I20171027000983

Medical Identifiers

Medical identifiers for Aleksandr Zhidetskiy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215474440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	292371 (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. Aleksandr Zhidetskiy allows following entities to bill medicare on his behalf.

Provider Name	Wellness Tribe Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215689880 PECOS PAC ID: 9234586454 Enrollment ID: O20231109002339

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. Aleksandr Zhidetskiy 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
Aleksandr Zhidetskiy, DPT 355 Coronado Ave, Apt 17, Long Beach, CA 90814-2671 Ph: (562) 761-9942	Aleksandr Zhidetskiy, DPT 355 Coronado Ave, Apt 17, Long Beach, CA 90814-2671 Ph: (562) 761-9942

Reviews and Comments

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Aleksandr Zhidetskiy, DPT - Medicare Physical Therapist in Long Beach, CA