Connor Pendleton, in South Pasadena, CA - Medicare Physical Therapist Provider

Connor Pendleton, is a medicare enrolled "Physical Therapist" provider in South Pasadena, California. His current practice location is 625 Fair Oaks Ave Ste 255, South Pasadena, California. You can reach out to his office (for appointments etc.) via phone at (626) 737-6735.

Connor Pendleton is licensed to practice in California (license number 302871) 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 1134841570.

Contact Information

	Connor Pendleton,
	625 Fair Oaks Ave Ste 255, South Pasadena, CA 91030-2695
	(626) 737-6735
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Connor Pendleton
Gender	Male
Speciality	Physical Therapist
Location	625 Fair Oaks Ave Ste 255, South Pasadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134841570
Provider Enumeration Date: 09/13/2022
Last Update Date: 09/13/2022

Medicare PECOS Information:

PECOS PAC ID: 2769858703
Enrollment ID: I20221017002585

Medical Identifiers

Medical identifiers for Connor Pendleton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134841570	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	302871 (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. Connor Pendleton allows following entities to bill medicare on his behalf.

Provider Name	Cozby Physical Therapy And Consulting
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1285168997 PECOS PAC ID: 0446528046 Enrollment ID: O20170623001158

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. Connor Pendleton 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
Connor Pendleton, 535 N Hobart Blvd Apt 13, Los Angeles, CA 90004-1878 Ph: (480) 225-9288	Connor Pendleton, 625 Fair Oaks Ave Ste 255, South Pasadena, CA 91030-2695 Ph: (626) 737-6735

Reviews and Comments

Physical Therapist in South Pasadena, CA

Carole Adel Beblawi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 538 Mission St, South Pasadena, CA 91030 Phone: 626-403-1444 Fax: 626-628-3905
Ms. Nicole Marie Vandevelde Cozby, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1605 Hope St, Suite 100, South Pasadena, CA 91030 Phone: 818-731-3447
Andrius Polikaitis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1020 Mission St Unit A, South Pasadena, CA 91030 Phone: 714-557-9292
Marisol Dakan, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1605 Hope St Ste 100, South Pasadena, CA 91030 Phone: 626-737-6735
Forte Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 920 Lohman Ln, South Pasadena, CA 91030 Phone: 310-384-5130
Chantal Lyne Donnelly, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1942 Huntington Dr, South Pasadena, CA 91030 Phone: 626-403-6545 Fax: 626-441-7660

Connor Pendleton, - Medicare Physical Therapist in South Pasadena, CA