Carolyn Rebecca Lack, DPT in New York, NY - Medicare Physical Therapist Provider

Carolyn Rebecca Lack, DPT is a medicare enrolled "Physical Therapist" provider in New York, New York. Her current practice location is 147 W 24th St, 7th Floor, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 997-7490.

Carolyn Rebecca Lack is licensed to practice in New York (license number 025886-1) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699935866.

Contact Information

	Carolyn Rebecca Lack, DPT
	147 W 24th St, 7th Floor, New York, NY 10011-1911
	(212) 997-7490
	(212) 997-7492

Map and Direction

Healthcare Provider's Profile

Full Name	Carolyn Rebecca Lack
Gender	Female
Speciality	Physical Therapist
Location	147 W 24th St, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699935866
Provider Enumeration Date: 06/11/2008
Last Update Date: 03/13/2017

Medicare PECOS Information:

PECOS PAC ID: 5597917302
Enrollment ID: I20121130000160

Medical Identifiers

Medical identifiers for Carolyn Rebecca Lack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699935866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	025886-1 (New York)	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. Carolyn Rebecca Lack allows following entities to bill medicare on her behalf.

Provider Name	Movement Valued Manual Therapy Physical Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023489531 PECOS PAC ID: 2264711977 Enrollment ID: O20161122000154

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. Carolyn Rebecca Lack 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
Carolyn Rebecca Lack, DPT 50 Lexington Ave, Apt 24a, New York, NY 10010-2935 Ph: (212) 674-3231	Carolyn Rebecca Lack, DPT 147 W 24th St, 7th Floor, New York, NY 10011-1911 Ph: (212) 997-7490

Reviews and Comments

Physical Therapist in New York, NY

Wilbert Lao, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 W 26th St, Suite 302, New York, NY 10010 Phone: 718-285-0588 Fax: 718-285-9323
Elisabeth Anne Frank, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 5th Ave, 22nd Floor, New York, NY 10017 Phone: 404-849-5770
Ryanne Tanae Glasper, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 230 W 38th St Fl 18, New York, NY 10018 Phone: 212-997-7490 Fax: 212-007-7492
Miss Shari Ilise Nadel, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 W 35th St, Suite 407, New York, NY 10001 Phone: 917-591-8494
Katherine Spencer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 W 108th St Apt 41, New York, NY 10025 Phone: 585-737-2360
Kunjan Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 3rd Ave, 5th Floor, New York, NY 10017 Phone: 212-204-5144
Mr. Ramoncito Tiosejo Dizon, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1615 Madison Ave, New York, NY 10029 Phone: 212-860-5803 Fax: 212-860-6095

Carolyn Rebecca Lack, DPT - Medicare Physical Therapist in New York, NY