Benicia Bay Physical Therapy is a medicare enrolled "Clinic/center - Physical Therapy" provider in Benicia, California. Their current practice location is
560 1st St, Suite D-101, Benicia, California. You can reach out to their office (for appointments etc.) via phone at
(707) 747-9977.
Benicia Bay Physical Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Benicia Bay Physical Therapy
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1083685333.
Healthcare Provider's Profile
| Full Name | Benicia Bay Physical Therapy |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 560 1st St, Benicia, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083685333
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 09/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 2668492455
- Enrollment ID: O20051122000655
Medical Identifiers
Medical identifiers for Benicia Bay Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083685333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (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.
Benicia Bay Physical Therapy acts as a billing entity for following providers:
| Provider Name | Shivani Jay Mehta |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1053382309
PECOS PAC ID: 6901826791
Enrollment ID: I20051123000076 |
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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. Benicia Bay Physical Therapy 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 |
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Benicia Bay Physical Therapy
560 1st St, Suite D-101,
Benicia, CA 94510-3295
Ph: (707) 747-9977 | Benicia Bay Physical Therapy
560 1st St, Suite D-101,
Benicia, CA 94510-3295
Ph: (707) 747-9977 |
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