Coastal Edema Care in Encinitas, CA - Medicare Physical Therapist Provider

Coastal Edema Care is a medicare enrolled "Physical Therapist" provider in Encinitas, California. Their current practice location is 171 Calle Magdalena Ste 102, Encinitas, California. You can reach out to their office (for appointments etc.) via phone at () -.

Coastal Edema Care is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Coastal Edema Care 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 1215648043.

Contact Information

	Coastal Edema Care
	171 Calle Magdalena Ste 102, Encinitas, CA 92024-3745
	() -
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Coastal Edema Care
Type	Facility
Speciality	Physical Therapist
Location	171 Calle Magdalena Ste 102, Encinitas, California
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215648043
Provider Enumeration Date: 12/13/2022
Last Update Date: 09/12/2024

Medicare PECOS Information:

PECOS PAC ID: 9335503952
Enrollment ID: O20230915001140

Medical Identifiers

Medical identifiers for Coastal Edema Care such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215648043	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. Coastal Edema Care acts as a billing entity for following providers:

Provider Name	Tammy Elizabeth Mondry
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1225089238 PECOS PAC ID: 6709868946 Enrollment ID: I20040602001099

Provider Name	Joseph Mondry
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1447380290 PECOS PAC ID: 0345300992 Enrollment ID: I20081129000016

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. Coastal Edema Care 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
Coastal Edema Care 380 Paseo Pacifica, Encinitas, CA 92024-3644 Ph: (619) 415-5817	Coastal Edema Care 171 Calle Magdalena Ste 102, Encinitas, CA 92024-3745 Ph: () -

Reviews and Comments

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Coastal Edema Care - Medicare Physical Therapist in Encinitas, CA