Chanel Irene Marie Ebert, PT, DPT in Tustin, CA - Medicare Physical Therapist Provider

Chanel Irene Marie Ebert, PT, DPT is a medicare enrolled "Physical Therapist" provider in Tustin, California. Her current practice location is 2492 Walnut Avenue, #140, Tustin, California. You can reach out to her office (for appointments etc.) via phone at (714) 544-2188.

Chanel Irene Marie Ebert is licensed to practice in California (license number PT41213) 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 1922449255.

Contact Information

	Chanel Irene Marie Ebert, PT, DPT
	2492 Walnut Avenue, #140, Tustin, CA 92780-6953
	(714) 544-2188
	(714) 544-2189

Map and Direction

Healthcare Provider's Profile

Full Name	Chanel Irene Marie Ebert
Gender	Female
Speciality	Physical Therapist
Location	2492 Walnut Avenue, #140, Tustin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922449255
Provider Enumeration Date: 07/15/2013
Last Update Date: 04/07/2014

Medicare PECOS Information:

PECOS PAC ID: 9537387261
Enrollment ID: I20230213002012

Medical Identifiers

Medical identifiers for Chanel Irene Marie Ebert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922449255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2617 (Alaska)	Secondary
225100000X	Physical Therapist	PT41213 (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. Chanel Irene Marie Ebert allows following entities to bill medicare on her behalf.

Provider Name	Select Physical Therapy Holdings Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1699743484 PECOS PAC ID: 9537076401 Enrollment ID: O20151117000542

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. Chanel Irene Marie Ebert 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
Chanel Irene Marie Ebert, PT, DPT 2492 Walnut Avenue, #140, Tustin, CA 92780-6953 Ph: (714) 544-2188	Chanel Irene Marie Ebert, PT, DPT 2492 Walnut Avenue, #140, Tustin, CA 92780-6953 Ph: (714) 544-2188

Reviews and Comments

Physical Therapist in Tustin, CA

Mr. Kenneth Randy Pinkerton, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 365 W 1st St, Tustin, CA 92780 Phone: 714-544-5565 Fax: 714-544-5570
John Djerbaka, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17251 17th St, Ste. A&b, Tustin, CA 92780 Phone: 714-832-2273 Fax: 714-832-2272
Rachel Libonati, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2492 Walnut Ave, #140, Tustin, CA 92780 Phone: 714-544-2188
Mr. Alex Keuilian, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13931 Carroll Way Ste B, Tustin, CA 92780 Phone: 714-988-8120 Fax: 714-988-8119
Jessica Phung, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2552 Walnut Ave Ste 130, Tustin, CA 92780 Phone: 714-508-1600
Rehab And Revive Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3002 Dow Ave Ste 506, Tustin, CA 92780 Phone: 714-900-3880 Fax: 714-731-0932
Princess Roma Resplandor Malilim, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2205 Carob Way, Tustin, CA 92782 Phone: 714-224-8339

Chanel Irene Marie Ebert, PT, DPT - Medicare Physical Therapist in Tustin, CA