Andrew Phong, DPT, PT in Mill Valley, CA - Medicare Physical Therapist Provider

Andrew Phong, DPT, PT is a medicare enrolled "Physical Therapist" provider in Mill Valley, California. His current practice location is 421 Miller Ave, Mill Valley, California. You can reach out to his office (for appointments etc.) via phone at (415) 388-8166.

Andrew Phong is licensed to practice in * (Not Available) (license number ) 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 1174240782.

Contact Information

	Andrew Phong, DPT, PT
	421 Miller Ave, Mill Valley, CA 94941-2903
	(415) 388-8166
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew Phong
Gender	Male
Speciality	Physical Therapist
Location	421 Miller Ave, Mill Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174240782
Provider Enumeration Date: 10/24/2022
Last Update Date: 10/24/2022

Medicare PECOS Information:

PECOS PAC ID: 1355710526
Enrollment ID: I20221209001027

Medical Identifiers

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

Identifier	Type	State	Issuer
1174240782	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Andrew Phong allows following entities to bill medicare on his behalf.

Provider Name	Active Marin Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184852766 PECOS PAC ID: 1052466950 Enrollment ID: O20090828000154

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 Phong 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 Phong, DPT, PT 551 Lakeview Ave, San Francisco, CA 94112-2341 Ph: (415) 806-5028	Andrew Phong, DPT, PT 421 Miller Ave, Mill Valley, CA 94941-2903 Ph: (415) 388-8166

Reviews and Comments

Physical Therapist in Mill Valley, CA

Tammara J Moore, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Shoreline Hwy Ste 210a, Mill Valley, CA 94941 Phone: 415-729-0441
Physical Medicine Ctr Of Marin, A Pt Corp. Physical Therapist Medicare: Medicare Enrolled Practice Location: 33 Miller Ave, Mill Valley, CA 94941 Phone: 415-380-9242 Fax: 415-388-7458
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 619 E Blithedale Ave, Bldg. B, Mill Valley, CA 94941 Phone: 415-388-5223 Fax: 415-388-5270
Mrs. Brigitte G. Mcfadden, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 40 Camino Alto, Mill Valley, CA 94941 Phone: 415-383-2741 Fax: 415-383-4379
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 619 E Blithedale Ave, Suite B, Mill Valley, CA 94941 Phone: 415-388-5223 Fax: 415-388-5270
Erin Elizabeth Fitzpatrick, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 591 Redwood Hwy Frontage Rd Ste 2235, Mill Valley, CA 94941 Phone: 415-381-8707
Lisa Sharon Iacovelli, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33 Miller Avenue, Mill Valley, CA 94941 Phone: 415-380-9242 Fax: 415-388-7458

Andrew Phong, DPT, PT - Medicare Physical Therapist in Mill Valley, CA