Gaston D Cordova, PT in Oswego, IL - Medicare Physical Therapist Provider

Gaston D Cordova, PT is a medicare enrolled "Physical Therapist" provider in Oswego, Illinois. His current practice location is 4390 Il-71, Oswego, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 554-1001.

Gaston D Cordova is licensed to practice in Illinois (license number 070014706) 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 1205928710.

Contact Information

	Gaston D Cordova, PT
	4390 Il-71, Oswego, IL 60543
	(630) 554-1001
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gaston D Cordova
Gender	Male
Speciality	Physical Therapist
Location	4390 Il-71, Oswego, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205928710
Provider Enumeration Date: 09/29/2006
Last Update Date: 12/26/2019

Medicare PECOS Information:

PECOS PAC ID: 9537174032
Enrollment ID: I20230710002683

Medical Identifiers

Medical identifiers for Gaston D Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205928710	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070014706 (Illinois)	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. Gaston D Cordova allows following entities to bill medicare on his behalf.

Provider Name	Select Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20230517000214

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. Gaston D Cordova 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
Gaston D Cordova, PT 121 Santa Fe Ln, Willow Springs, IL 60480-1624 Ph: () -	Gaston D Cordova, PT 4390 Il-71, Oswego, IL 60543 Ph: (630) 554-1001

Reviews and Comments

Physical Therapist in Oswego, IL

Joseph J Caricato, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4511 Route 71, Oswego, IL 60543 Phone: 630-554-7815
Schiltz Therapy Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 Hanover Ct, Oswego, IL 60543 Phone: 331-302-2473
Elyse M. Wilson, OTR/L Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29d Stonehill Road, Oswego, IL 60543 Phone: 630-554-6156 Fax: 630-554-6378
Vardhan K Mudigonda, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2872 Us Highway 34, Oswego, IL 60543 Phone: 630-554-8890
Dr. Giovanni Regalado, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Templeton Dr, Oswego, IL 60543 Phone: 630-264-8440
Mrs. Jennifer Wilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29d Stonehill Rd, Oswego, IL 60543 Phone: 630-554-6156 Fax: 630-554-6378
Mrs. Kathleen Schiltz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 Hanover Ct, Oswego, IL 60543 Phone: 630-264-1708

Gaston D Cordova, PT - Medicare Physical Therapist in Oswego, IL