Dr Rickey Roshaun Young, DPT is a medicare enrolled "Physical Therapist" provider in Freemont, California. His current practice location is
39350 Civic Center Dr #300, Freemont, California. You can reach out to his office (for appointments etc.) via phone at
(510) 797-3933.
Dr Rickey Roshaun Young is licensed to practice in California (license number PT29134) 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 1790133189.
Healthcare Provider's Profile
| Full Name | Dr Rickey Roshaun Young |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 39350 Civic Center Dr #300, Freemont, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790133189
- Provider Enumeration Date: 05/26/2016
- Last Update Date: 09/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 7618245168
- Enrollment ID: I20170626000359
Medical Identifiers
Medical identifiers for Dr Rickey Roshaun Young such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790133189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 291345 (California) | Secondary |
| 225100000X | Physical Therapist | PT29134 (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. Dr Rickey Roshaun Young allows following entities to bill medicare on his behalf.
| Provider Name | Mission Peak Orthopaedic Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609888593
PECOS PAC ID: 9739165705
Enrollment ID: O20040629000911 |
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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. Dr Rickey Roshaun Young 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 |
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Dr Rickey Roshaun Young, DPT
39350 Civic Center Dr #300,
Freemont, CA 94538-2331
Ph: (510) 797-3933 | Dr Rickey Roshaun Young, DPT
39350 Civic Center Dr #300,
Freemont, CA 94538-2331
Ph: (510) 797-3933 |
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