Carlos Fabian Ontiveros, in Lemon Grove, CA - Medicare Physical Therapist Provider

Carlos Fabian Ontiveros, is a medicare enrolled "Physical Therapist" provider in Lemon Grove, California. His current practice location is 7826 Broadway, Lemon Grove, California. You can reach out to his office (for appointments etc.) via phone at (619) 876-4420.

Carlos Fabian Ontiveros is licensed to practice in California (license number PT305326) 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 1730942640.

Contact Information

	Carlos Fabian Ontiveros,
	7826 Broadway, Lemon Grove, CA 91945-1801
	(619) 876-4420
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carlos Fabian Ontiveros
Gender	Male
Speciality	Physical Therapist
Location	7826 Broadway, Lemon Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730942640
Provider Enumeration Date: 02/02/2024
Last Update Date: 02/02/2024

Medicare PECOS Information:

PECOS PAC ID: 8921443474
Enrollment ID: I20240223003717

Medical Identifiers

Medical identifiers for Carlos Fabian Ontiveros such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730942640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT305326 (California)	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. Carlos Fabian Ontiveros allows following entities to bill medicare on his behalf.

Provider Name	Family Health Centers Of San Diego, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

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. Carlos Fabian Ontiveros 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
Carlos Fabian Ontiveros, 9109 San Andres St, Spring Valley, CA 91977-5845 Ph: (619) 517-6848	Carlos Fabian Ontiveros, 7826 Broadway, Lemon Grove, CA 91945-1801 Ph: (619) 876-4420

Reviews and Comments

Physical Therapist in Lemon Grove, CA

Jordan Mason, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7826 Broadway, Lemon Grove, CA 91945 Phone: 619-876-4420
Kasey Rae Tolbert, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7922 Palm St, Lemon Grove, CA 91945 Phone: 619-644-1000
Therapy Specialists Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2211 Massachusetts Ave, Lemon Grove, CA 91945 Phone: 619-698-0903

Carlos Fabian Ontiveros, - Medicare Physical Therapist in Lemon Grove, CA