Clifford Angco Gaviola, PT in Revere, MA - Medicare Physical Therapist Provider

Clifford Angco Gaviola, PT is a medicare enrolled "Physical Therapist" provider in Revere, Massachusetts. His current practice location is 372 Broadway, Revere, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 485-1001.

Clifford Angco Gaviola is licensed to practice in Massachusetts (license number 16695) 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 1902880883.

Contact Information

	Clifford Angco Gaviola, PT
	372 Broadway, Revere, MA 02151-5016
	(781) 485-1001
	(781) 289-6820

Map and Direction

Healthcare Provider's Profile

Full Name	Clifford Angco Gaviola
Gender	Male
Speciality	Physical Therapist
Location	372 Broadway, Revere, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902880883
Provider Enumeration Date: 12/03/2005
Last Update Date: 09/02/2020

Medicare PECOS Information:

PECOS PAC ID: 0244212231
Enrollment ID: I20040603000578

Medical Identifiers

Medical identifiers for Clifford Angco Gaviola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902880883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	16695 (Massachusetts)	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. Clifford Angco Gaviola allows following entities to bill medicare on his behalf.

Provider Name	Comeback Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1013295054 PECOS PAC ID: 1355639717 Enrollment ID: O20161018001401

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. Clifford Angco Gaviola 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
Clifford Angco Gaviola, PT 5730 Corporate Way Ste 214, West Palm Beach, FL 33407-2032 Ph: (774) 218-5585	Clifford Angco Gaviola, PT 372 Broadway, Revere, MA 02151-5016 Ph: (781) 485-1001

Reviews and Comments

Physical Therapist in Revere, MA

Cecilia Jiang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6234
Dr. Joseph Michael Czupryna, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6000
Shraddha Patel, PT, DPT, MPH Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 430 Broadway, Revere, MA 02151 Phone: 781-816-0573
Shelby L Bell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6234
Ms. Emily Wylene Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6222
Broadway Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 185 Squire Rd, Revere, MA 02151 Phone: 781-284-0559 Fax: 781-284-0698
Erin Anderson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 385 Broadway, Suite 205, Revere, MA 02151 Phone: 781-485-1001 Fax: 781-485-1003

Clifford Angco Gaviola, PT - Medicare Physical Therapist in Revere, MA