Evan Bonvino, in Sutton, MA - Medicare Physical Therapist Provider

Evan Bonvino, is a medicare enrolled "Physical Therapist" provider in Sutton, Massachusetts. His current practice location is 64 Worcester Providence Tpke, Sutton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 861-1010.

Evan Bonvino is licensed to practice in Massachusetts (license number 27312) 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 1770359390.

Contact Information

	Evan Bonvino,
	64 Worcester Providence Tpke, Sutton, MA 01590-2513
	(508) 861-1010
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evan Bonvino
Gender	Male
Speciality	Physical Therapist
Location	64 Worcester Providence Tpke, Sutton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770359390
Provider Enumeration Date: 11/27/2023
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2860841335
Enrollment ID: I20231208001719

Medical Identifiers

Medical identifiers for Evan Bonvino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770359390	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	27312 (Massachusetts)	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. Evan Bonvino allows following entities to bill medicare on his behalf.

Provider Name	Concierge Physical Therapy, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164935862 PECOS PAC ID: 1658630710 Enrollment ID: O20180117002260

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. Evan Bonvino 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
Evan Bonvino, 64 Worcester Providence Tpke, Sutton, MA 01590-2513 Ph: (508) 861-1010	Evan Bonvino, 64 Worcester Providence Tpke, Sutton, MA 01590-2513 Ph: (508) 861-1010

Reviews and Comments

Physical Therapist in Sutton, MA

Samantha Santiago, Physical Therapist Medicare: Medicare Enrolled Practice Location: 64 Worcester Providence Tpke, Sutton, MA 01590 Phone: 508-861-1010
Ms. Annemarie Mcneil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 Central Tpke, Sutton, MA 01590 Phone: 774-239-4237 Fax: 508-794-9400
Nathaniel Bubacy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 64 Worcester Providence Tpke, Sutton, MA 01590 Phone: 508-861-1010
Geena Terino, Physical Therapist Medicare: Medicare Enrolled Practice Location: 64 Worcester Providence Tpke, Sutton, MA 01590 Phone: 774-275-0891
Robert Pano, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45 Putnam Hill Rd, Sutton, MA 01590 Phone: 508-517-0222
Jianna Bustamante, Physical Therapist Medicare: Medicare Enrolled Practice Location: 64 Worcester Providence Tpke, Sutton, MA 01590 Phone: 508-861-1010
Keelin Mcsweeney, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 64 Worcester Providence Tpke, Sutton, MA 01590 Phone: 508-861-1010

Evan Bonvino, - Medicare Physical Therapist in Sutton, MA