Christine Divirgilio, PTA in Latham, NY - Medicare Physical Therapist Provider

Christine Divirgilio, PTA is a medicare enrolled "Physical Therapist" provider in Latham, New York. Her current practice location is 711 Troy Schenectady Rd Ste 216, Latham, New York. You can reach out to her office (for appointments etc.) via phone at (518) 786-1665.

Christine Divirgilio is licensed to practice in New York (license number 052064) 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 1093497109.

Contact Information

	Christine Divirgilio, PTA
	711 Troy Schenectady Rd Ste 216, Latham, NY 12110-2461
	(518) 786-1665
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Christine Divirgilio
Gender	Female
Speciality	Physical Therapist
Location	711 Troy Schenectady Rd Ste 216, Latham, 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: 1093497109
Provider Enumeration Date: 08/07/2023
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2163867318
Enrollment ID: I20240228001103

Medical Identifiers

Medical identifiers for Christine Divirgilio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093497109	NPI	-	NPPES
07888324	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	052064 (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. Christine Divirgilio allows following entities to bill medicare on her behalf.

Provider Name	Thomas Nicolla Consulting Services Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1487633152 PECOS PAC ID: 7315836848 Enrollment ID: O20040624000511

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. Christine Divirgilio 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
Christine Divirgilio, PTA 711 Troy Schenectady Rd Ste 209, Latham, NY 12110-2481 Ph: (518) 786-1667	Christine Divirgilio, PTA 711 Troy Schenectady Rd Ste 216, Latham, NY 12110-2461 Ph: (518) 786-1665

Reviews and Comments

Physical Therapist in Latham, NY

Ms. Marianne Elizabeth Vrobel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1182 Troy Schenectady Rd, Suite Ll02, Latham, NY 12110 Phone: 518-220-9705 Fax: 518-220-9651
Dr. Sarah Catherine Clift, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Loudon Rd, Latham, Ny 12110, Latham, NY 12110 Phone: 518-348-9613
Mr. Richard J. Waite, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 250 Old Loudon Rd, Latham, NY 12110 Phone: 518-489-2020
Thomas Christopher Nicolla Jr., PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110 Phone: 518-690-2882 Fax: 518-690-2884
Trisha Mackenzie, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110 Phone: 518-690-2882 Fax: 518-690-2884
Ketaki Nagarkar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Century Hill Dr Ste 104, Latham, NY 12110 Phone: 518-713-4106
Melissa Anne Ailor, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110 Phone: 518-690-2882 Fax: 518-690-2884

Christine Divirgilio, PTA - Medicare Physical Therapist in Latham, NY