Andrew Novencido, PT, DPT in Imperial Beach, CA - Medicare Physical Therapy Provider

Andrew Novencido, PT, DPT is a medicare enrolled "Physical Therapist" provider in Imperial Beach, California. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Performance Plus Physical Therapy, Inc. and his current practice location is 1155 13th St, Imperial Beach, California. You can reach out to his office (for appointments etc.) via phone at (619) 941-2680.

Andrew Novencido is licensed to practice in California (license number 295915) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447723937.

Contact Information

	Andrew Novencido, PT, DPT
	1155 13th St, Imperial Beach, CA 91932-3608
	(619) 941-2680
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew Novencido
Gender	Male
Speciality	Physical Therapy
Experience	6 Years
Location	1155 13th St, Imperial Beach, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Andrew Novencido graduated from medical school in 2018

NPI Data:

NPI Number: 1447723937
Provider Enumeration Date: 01/07/2019
Last Update Date: 01/07/2019

Medicare PECOS Information:

PECOS PAC ID: 4789922980
Enrollment ID: I20190213003151

Medical Identifiers

Medical identifiers for Andrew Novencido such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447723937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	295915 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Performance Plus Physical Therapy, Inc.	1850668773	12

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. Andrew Novencido allows following entities to bill medicare on his behalf.

Provider Name	Performance Plus Physical Therapy, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1144766064 PECOS PAC ID: 1850668773 Enrollment ID: O20170525000621

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. Andrew Novencido 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
Andrew Novencido, PT, DPT 343 Crestview Dr, Bonita, CA 91902-4253 Ph: (619) 339-2974	Andrew Novencido, PT, DPT 1155 13th St, Imperial Beach, CA 91932-3608 Ph: (619) 941-2680

Reviews and Comments

Physical Therapist in Imperial Beach, CA

Peter Inseok Chung, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Palm Ave Ste 126, Imperial Beach, CA 91932 Phone: 619-482-3000 Fax: 619-332-4220
Giovanni Xavier Villanueva, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Palm Ave Ste 126, Imperial Beach, CA 91932 Phone: 619-332-4200
Sarah Catherine Suggs, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Palm Ave Ste 126, Imperial Beach, CA 91932 Phone: 619-482-3000
Tamara Lila Trily, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 760 13th St, Imperial Beach, CA 91932 Phone: 858-755-5200 Fax: 619-941-2681
Taylor Verissimo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 600 Palm Ave Ste 126, Imperial Beach, CA 91932 Phone: 209-552-1181
Matthew Alan Rogowski, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Palm Ave, Imperial Beach, CA 91932 Phone: 619-339-9109
Amanda Al-sheikh, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 760 13th St, Imperial Beach, CA 91932 Phone: 619-941-2680

Andrew Novencido, PT, DPT - Medicare Physical Therapist in Imperial Beach, CA