Carlo Custodio Cordero, in Bolingbrook, IL - Medicare Physical Therapist Provider

Carlo Custodio Cordero, is a medicare enrolled "Physical Therapist" provider in Bolingbrook, Illinois. His current practice location is 1899 Norwich Ln, Bolingbrook, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 909-9491.

Carlo Custodio Cordero is licensed to practice in Illinois (license number 070.020489) 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 1407211501.

Contact Information

	Carlo Custodio Cordero,
	1899 Norwich Ln, Bolingbrook, IL 60490-5515
	(815) 909-9491
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carlo Custodio Cordero
Gender	Male
Speciality	Physical Therapist
Location	1899 Norwich Ln, Bolingbrook, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407211501
Provider Enumeration Date: 12/16/2015
Last Update Date: 12/16/2015

Medicare PECOS Information:

PECOS PAC ID: 1153780911
Enrollment ID: I20230711003657

Medical Identifiers

Medical identifiers for Carlo Custodio Cordero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407211501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070.020489 (Illinois)	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. Carlo Custodio Cordero allows following entities to bill medicare on his behalf.

Provider Name	Paxxon Healthcare Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063784148 PECOS PAC ID: 8325959554 Enrollment ID: O20120507000412

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. Carlo Custodio Cordero 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
Carlo Custodio Cordero, 1899 Norwich Ln, Bolingbrook, IL 60490-5515 Ph: (815) 909-9491	Carlo Custodio Cordero, 1899 Norwich Ln, Bolingbrook, IL 60490-5515 Ph: (815) 909-9491

Reviews and Comments

Physical Therapist in Bolingbrook, IL

Jennifer N Warning, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 Fax: 630-378-9169
Samuel Almoguera Tambago Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2224 Misty Creek Trl, Bolingbrook, IL 60490 Phone: 714-417-6155
Erika Lauren Elder, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Remington Blvd, Bolingbrook, IL 60440 Phone: 630-296-2223
Annie Malone, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420
Douglas Bradley, PT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 N Weber Rd, Bolingbrook, IL 60490 Phone: 630-771-0850 Fax: 630-771-0852
Kristin Marie Lally, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 N Weber Rd, Bolingbrook, IL 60490 Phone: 630-771-0850
Patricia Victoria D. Castro- Ladra, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 863 W Briarcliff Rd, Bolingbrook, IL 60440 Phone: 630-935-3920

Carlo Custodio Cordero, - Medicare Physical Therapist in Bolingbrook, IL