Domenic F Sulfaro Jr, PT, DPT, LATC is a medicare enrolled "Specialist/technologist - Athletic Trainer" provider in South Weymouth, Massachusetts. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Proex Physical Therapy Llc and his current practice location is
541 Main St, Suite 103, South Weymouth, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(781) 331-9600.
Domenic F Sulfaro Jr is licensed to practice in Massachusetts (license number 624) 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 1336250356.
Healthcare Provider's Profile
| Full Name | Domenic F Sulfaro Jr |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 21 Years |
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| Location | 541 Main St, South Weymouth, Massachusetts |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Domenic F Sulfaro Jr graduated from medical school in 2003
NPI Data:
- NPI Number: 1336250356
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 09/26/2007
Medicare PECOS Information:
- PECOS PAC ID: 8224028287
- Enrollment ID: I20040513000439
Medical Identifiers
Medical identifiers for Domenic F Sulfaro Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336250356 | NPI | - | NPPES |
| 626330 | Other | MA | HARVARD PILGRIM |
| 981075 | Other | MA | NETWORK HEALTH |
| 328820 | Other | MA | CIGNA |
| 470490 | Other | MA | TUFTS |
| 0329720 | Medicaid | MA | |
| Y68210 | Other | MA | BLUE CROSS |
| 64029 | Other | MA | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 16543 (Massachusetts) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 624 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Proex Physical Therapy Llc | 0345212395 | 128 |
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. Domenic F Sulfaro Jr allows following entities to bill medicare on his behalf.
| Provider Name | South Shore Sports & Muscular |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1104822576
PECOS PAC ID: 5092606764
Enrollment ID: O20040323000056 |
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| Provider Name | Proex Physical Therapy Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1831190453
PECOS PAC ID: 0345212395
Enrollment ID: O20040810000744 |
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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. Domenic F Sulfaro Jr 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 |
|---|
Domenic F Sulfaro Jr, PT, DPT, LATC
541 Main St, Suite 103,
South Weymouth, MA 02190-1868
Ph: (781) 331-9600 | Domenic F Sulfaro Jr, PT, DPT, LATC
541 Main St, Suite 103,
South Weymouth, MA 02190-1868
Ph: (781) 331-9600 |
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