Full Grace Physical Therapy, Pc is a medicare enrolled "Physical Therapist" provider in Mt. Vernon, New York. Their current practice location is
2 Gramatan Avenue, Suite 206, Mt. Vernon, New York. You can reach out to their office (for appointments etc.) via phone at
(914) 664-1380.
Full Grace Physical Therapy, Pc is licensed to practice in New York (license number 017135-1) and it also participates in the medicare program. Full Grace Physical Therapy, Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1598268740.
Healthcare Provider's Profile
Full Name | Full Grace Physical Therapy, Pc |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 2 Gramatan Avenue, Suite 206, Mt. Vernon, New York |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598268740
- Provider Enumeration Date: 03/14/2018
- Last Update Date: 03/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 7517220379
- Enrollment ID: O20180410001276
Medical Identifiers
Medical identifiers for Full Grace Physical Therapy, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598268740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 017135-1 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Full Grace Physical Therapy, Pc acts as a billing entity for following providers:
Provider Name | Ethelvida M Ciccone |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1710199914 PECOS PAC ID: 1153229851 Enrollment ID: I20031230000139 |
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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. Full Grace Physical Therapy, Pc 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 |
Full Grace Physical Therapy, Pc 2 Gramatan Avenue, Suite 206, Mt. Vernon, NY 10550-2002 Ph: (914) 664-1380 | Full Grace Physical Therapy, Pc 2 Gramatan Avenue, Suite 206, Mt. Vernon, NY 10550-2002 Ph: (914) 664-1380 |
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