Gabrielle Kimura Lagutang, PT, DPT is a medicare enrolled "Physical Therapist" provider in Hagatna, Guam. Her current practice location is
185 Dulce Nombre De Maria Dr, Hagatna, Guam. You can reach out to her office (for appointments etc.) via phone at
(671) 989-0436.
Gabrielle Kimura Lagutang is licensed to practice in Arizona (license number 033356) 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 1801652896.
Healthcare Provider's Profile
| Full Name | Gabrielle Kimura Lagutang |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 185 Dulce Nombre De Maria Dr, Hagatna, Guam |
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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: 1801652896
- Provider Enumeration Date: 02/27/2024
- Last Update Date: 02/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325486780
- Enrollment ID: I20240403003999
Medical Identifiers
Medical identifiers for Gabrielle Kimura Lagutang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801652896 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 033356 (Arizona) | 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. Gabrielle Kimura Lagutang allows following entities to bill medicare on her behalf.
| Provider Name | Custom Fitness 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: 1902217896
PECOS PAC ID: 0244682276
Enrollment ID: O20240116001388 |
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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. Gabrielle Kimura Lagutang 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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Gabrielle Kimura Lagutang, PT, DPT
Po Box 4853,
Hagatna, GU 96932-8654
Ph: () - | Gabrielle Kimura Lagutang, PT, DPT
185 Dulce Nombre De Maria Dr,
Hagatna, GU 96910-4909
Ph: (671) 989-0436 |
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