Angelo Joseph Bologna, PT in Gresham, OR - Medicare Physical Therapist Provider

Angelo Joseph Bologna, PT is a medicare enrolled "Physical Therapist" provider in Gresham, Oregon. His current practice location is 282 Ne 223rd Ave, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 912-1192.

Angelo Joseph Bologna is licensed to practice in Oregon (license number 63365) 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 1558843870.

Contact Information

	Angelo Joseph Bologna, PT
	282 Ne 223rd Ave, Gresham, OR 97030-8555
	(503) 912-1192
	(503) 912-1275

Map and Direction

Healthcare Provider's Profile

Full Name	Angelo Joseph Bologna
Gender	Male
Speciality	Physical Therapist
Location	282 Ne 223rd Ave, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558843870
Provider Enumeration Date: 09/04/2018
Last Update Date: 08/08/2019

Medicare PECOS Information:

PECOS PAC ID: 8224372917
Enrollment ID: I20191004002711

Medical Identifiers

Medical identifiers for Angelo Joseph Bologna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558843870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	63365 (Oregon)	Primary
225100000X	Physical Therapist	11781 (Tennessee)	Secondary

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. Angelo Joseph Bologna allows following entities to bill medicare on his behalf.

Provider Name	Ohsu Outpatient Clinical Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336824440 PECOS PAC ID: 7315300571 Enrollment ID: O20230906000508

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. Angelo Joseph Bologna 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
Angelo Joseph Bologna, PT 1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424 Ph: (423) 682-8840	Angelo Joseph Bologna, PT 282 Ne 223rd Ave, Gresham, OR 97030-8555 Ph: (503) 912-1192

Reviews and Comments

Physical Therapist in Gresham, OR

Namita Avarsekar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Ne Hood Ave, Gresham, OR 97030 Phone: 503-666-1333 Fax: 503-666-2444
Paul Song Eo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24076 Se Stark St Ste 200, Gresham, OR 97030 Phone: 503-491-1666
Mr. Clem George Eischen Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Gresham, OR 97030 Phone: 503-491-1666
Stacia Akers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-3879 Fax: 503-413-4379
Debra Magnani, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Nw Burnside Rd, Gresham, OR 97030 Phone: 503-215-9141
Kimberly Do, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 200, Gresham, OR 97030 Phone: 714-902-5157
Dr. Sara L Duran, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 200, Gresham, OR 97030 Phone: 503-482-1876

Angelo Joseph Bologna, PT - Medicare Physical Therapist in Gresham, OR