Emily Mantz, in Fairfield, CT - Medicare Physical Therapist Provider

Emily Mantz, is a medicare enrolled "Physical Therapist" provider in Fairfield, Connecticut. Her current practice location is 2373 Black Rock Tpke, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 659-3056.

Emily Mantz is licensed to practice in Connecticut (license number 14266) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215703814.

Contact Information

	Emily Mantz,
	2373 Black Rock Tpke, Fairfield, CT 06825-3229
	(203) 659-3056
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Mantz
Gender	Female
Speciality	Physical Therapist
Location	2373 Black Rock Tpke, Fairfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215703814
Provider Enumeration Date: 11/27/2023
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7416306378
Enrollment ID: I20231218002656

Medical Identifiers

Medical identifiers for Emily Mantz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215703814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	14266 (Connecticut)	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. Emily Mantz allows following entities to bill medicare on her behalf.

Provider Name	Anb-ptsma Holdings Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1659453371 PECOS PAC ID: 4789572926 Enrollment ID: O20100928000128

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. Emily Mantz 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
Emily Mantz, 47 N Main St, West Hartford, CT 06107-1926 Ph: () -	Emily Mantz, 2373 Black Rock Tpke, Fairfield, CT 06825-3229 Ph: (203) 659-3056

Reviews and Comments

Physical Therapist in Fairfield, CT

Lainie Mchugh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1931 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-384-8681
Mrs. Rebecca Lynne Petrosino, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2373 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-659-4898 Fax: 203-659-4899
Restore Health Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2060 Post Rd, Fairfield, CT 06824 Phone: 203-435-0350
Miss Hanna Mary Gleason, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1499 Post Rd Lowr Level, Fairfield, CT 06824 Phone: 203-445-0845
Gail Weintraub, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Mill Plain Rd, Fairfield, CT 06824 Phone: 203-255-3573
Laura M Delladonna, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-337-2600 Fax: 203-337-2611
Center For Pediatric Therapy-fairfield, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 Post Rd, Suite 204, Fairfield, CT 06824 Phone: 203-255-3669 Fax: 205-255-1173

Emily Mantz, - Medicare Physical Therapist in Fairfield, CT