Irsam Yape Doligon, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapy Assistant" provider in Bronx, New York. His current practice location is
245 E 198th St, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at
(347) 270-9243.
Irsam Yape Doligon is licensed to practice in New York (license number 009363) 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 1417326067.
Healthcare Provider's Profile
| Full Name | Irsam Yape Doligon |
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| Gender | Male |
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| Speciality | Physical Therapy Assistant |
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| Location | 245 E 198th St, Bronx, New York |
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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: 1417326067
- Provider Enumeration Date: 09/24/2015
- Last Update Date: 10/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 6406225242
- Enrollment ID: I20221216002271
Medical Identifiers
Medical identifiers for Irsam Yape Doligon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417326067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 047656 (New York) | Secondary |
| 225200000X | Physical Therapy Assistant | 009363 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Irsam Yape Doligon allows following entities to bill medicare on his behalf.
| Provider Name | Evergreen Physical Therapy Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1699030718
PECOS PAC ID: 2860648979
Enrollment ID: O20120806000488 |
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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. Irsam Yape Doligon 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 |
|---|
Irsam Yape Doligon, PHYSICAL THERAPIST
245 E 198th St,
Bronx, NY 10458
Ph: (347) 270-9243 | Irsam Yape Doligon, PHYSICAL THERAPIST
245 E 198th St,
Bronx, NY 10458
Ph: (347) 270-9243 |
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