Grace Reiko Lossev, is a medicare enrolled "Physical Therapist" provider in Weimar, California. Her current practice location is
20601 West Paoli Lane, Weimar, California. You can reach out to her office (for appointments etc.) via phone at
(530) 422-7906.
Grace Reiko Lossev is licensed to practice in Guam (license number PT000074) 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 1245380229.
Healthcare Provider's Profile
| Full Name | Grace Reiko Lossev |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 20601 West Paoli Lane, Weimar, California |
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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: 1245380229
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 09/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 4183955024
- Enrollment ID: I20191008002212
Medical Identifiers
Medical identifiers for Grace Reiko Lossev such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245380229 | NPI | - | NPPES |
| PT 21838 | Other | CA | CALIFORNIA PHYSICAL THERAPIST |
| PT000074 | Other | GU | GUAM LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT000074 (Guam) | 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. Grace Reiko Lossev allows following entities to bill medicare on her behalf.
| Provider Name | California Luna Care Physical Therapy Pc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1689162166
PECOS PAC ID: 9638427834
Enrollment ID: O20180803002123 |
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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. Grace Reiko Lossev 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 |
|---|
Grace Reiko Lossev,
Po Box 338,
Deer Park, CA 94576-0338
Ph: (707) 968-7288 | Grace Reiko Lossev,
20601 West Paoli Lane,
Weimar, CA 95736
Ph: (530) 422-7906 |
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