Chandana Gudavalli, PT in Staten Island, NY - Medicare Physical Therapist Provider

Chandana Gudavalli, PT is a medicare enrolled "Physical Therapist" provider in Staten Island, New York. Her current practice location is 31 New Dorp Ln, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 979-5236.

Chandana Gudavalli is licensed to practice in New York (license number 050052) 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 1780385815.

Contact Information

	Chandana Gudavalli, PT
	31 New Dorp Ln, Staten Island, NY 10306-2351
	(718) 979-5236
	(718) 979-4466

Map and Direction

Healthcare Provider's Profile

Full Name	Chandana Gudavalli
Gender	Female
Speciality	Physical Therapist
Location	31 New Dorp Ln, Staten Island, 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: 1780385815
Provider Enumeration Date: 03/15/2023
Last Update Date: 03/15/2023

Medicare PECOS Information:

PECOS PAC ID: 0244695120
Enrollment ID: I20230427002535

Medical Identifiers

Medical identifiers for Chandana Gudavalli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780385815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	050052 (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. Chandana Gudavalli allows following entities to bill medicare on her behalf.

Provider Name	Rb Physical And Occupational Therapy, Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1790013282 PECOS PAC ID: 5294870226 Enrollment ID: O20100302000766

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. Chandana Gudavalli 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
Chandana Gudavalli, PT 981 Us Highway 22 Fl 2, Bridgewater, NJ 08807-2946 Ph: (201) 801-7141	Chandana Gudavalli, PT 31 New Dorp Ln, Staten Island, NY 10306-2351 Ph: (718) 979-5236

Reviews and Comments

Physical Therapist in Staten Island, NY

Mr. Mohamed Ali Sadeia, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 49 Woodcrest Rd, Staten Island, NY 10303 Phone: 718-698-8487 Fax: 718-698-8487
Staten Island Hands On Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 153 Cannon Ave, Staten Island, NY 10314 Phone: 718-690-4238
Dr. Anthony Yorio Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 Retford Ave, Staten Island, NY 10312 Phone: 718-967-0132
Ms. Alexandra Castris, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 962 Manor Rd, Staten Island, NY 10314 Phone: 718-982-5944
Myocare Pt P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Atlantic Ave, Staten Island, NY 10304 Phone: 929-485-6000 Fax: 929-210-7000
Jeeno Joseph, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1415 Richmond Ave, Staten Island, NY 10314 Phone: 877-407-3422 Fax: 877-407-4329
Joy Murphy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1415 Richmond Ave, Staten Island, NY 10314 Phone: 877-407-3422 Fax: 877-407-4329

Chandana Gudavalli, PT - Medicare Physical Therapist in Staten Island, NY