Dr Devlin Alexander Dizacomo, DPT - Medicare Physical Therapist in Indio, CA

Dr Devlin Alexander Dizacomo, DPT is a medicare enrolled "Physical Therapist" provider in Indio, California. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Beaufort Orthopaedic Sports And Spine Center Llc and his current practice location is 81557 Dr Carreon Blvd Ste C4, Indio, California. You can reach out to his office (for appointments etc.) via phone at (760) 347-6195.

Dr Devlin Alexander Dizacomo is licensed to practice in California (license number PT304810) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023593902.

Contact Information

Dr Devlin Alexander Dizacomo, DPT
81557 Dr Carreon Blvd Ste C4,
Indio, CA 92201-5562
(760) 347-6195
(760) 347-2849

Map and Direction




Healthcare Provider's Profile

Full NameDr Devlin Alexander Dizacomo
GenderMale
SpecialityPhysical Therapy
Experience6 Years
Location81557 Dr Carreon Blvd Ste C4, Indio, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Devlin Alexander Dizacomo graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1023593902
  • Provider Enumeration Date: 09/26/2018
  • Last Update Date: 02/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5597183947
  • Enrollment ID: I20240221000122

Medical Identifiers

Medical identifiers for Dr Devlin Alexander Dizacomo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023593902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 043117 (New York)Secondary
225100000XPhysical Therapist PTL.0018134 (Colorado)Secondary
225100000XPhysical Therapist PT304810 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beaufort Orthopaedic Sports And Spine Center Llc135530177140

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. Dr Devlin Alexander Dizacomo allows following entities to bill medicare on his behalf.
Provider NameBeaufort Orthopaedic Sports And Spine Center Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1982765160
PECOS PAC ID: 1355301771
Enrollment ID: O20041012000064

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. Dr Devlin Alexander Dizacomo 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 AddressPractice Location Address
Dr Devlin Alexander Dizacomo, DPT
408 Higuera St Ste 200,
San Luis Obispo, CA 93401-6135

Ph: (805) 788-0805
Dr Devlin Alexander Dizacomo, DPT
81557 Dr Carreon Blvd Ste C4,
Indio, CA 92201-5562

Ph: (760) 347-6195

Reviews and Comments


Physical Therapist in Indio, CA

Dr. Jonathan Michael Elbert, D.P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 80629 Declaration Ave, Indio, CA 92201
Phone: 515-341-9738    
Jasmine Mireya Gongora, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201
Phone: 760-347-6195    Fax: 760-347-2849
Leo J King, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 82013 Dr Carreon Blvd, Suite I, Indio, CA 92201
Phone: 760-347-6195    Fax: 760-347-2849
Jillian Kitterick, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201
Phone: 760-347-6195    Fax: 760-347-2849
Ian Halderman, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201
Phone: 760-347-6195    Fax: 760-347-2849
Sara M Schuldt, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201
Phone: 760-347-6195    Fax: 760-347-2849

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.