Ismael M Mendoza, PT in Long Island City, NY - Medicare Physical Therapist Provider

Ismael M Mendoza, PT is a medicare enrolled "Physical Therapist" provider in Long Island City, New York. His current practice location is 3711 Queens Blvd, Long Island City, New York. You can reach out to his office (for appointments etc.) via phone at (718) 361-5100.

Ismael M Mendoza is licensed to practice in New York (license number 022476) 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 1417925454.

Contact Information

	Ismael M Mendoza, PT
	3711 Queens Blvd, Long Island City, NY 11101-1725
	(718) 361-5100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ismael M Mendoza
Gender	Male
Speciality	Physical Therapist
Location	3711 Queens Blvd, Long Island City, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417925454
Provider Enumeration Date: 03/08/2006
Last Update Date: 12/10/2012

Medicare PECOS Information:

PECOS PAC ID: 5193993285
Enrollment ID: I20110715000068

Medical Identifiers

Medical identifiers for Ismael M Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417925454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	022476 (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. Ismael M Mendoza allows following entities to bill medicare on his behalf.

Provider Name	Sports Medicine & Spine Rehab, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457498180 PECOS PAC ID: 8729388574 Enrollment ID: O20151130000899

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. Ismael M Mendoza 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
Ismael M Mendoza, PT 8 Pilgrim Ln, Westbury, NY 11590-6217 Ph: (516) 338-1021	Ismael M Mendoza, PT 3711 Queens Blvd, Long Island City, NY 11101-1725 Ph: (718) 361-5100

Reviews and Comments

Physical Therapist in Long Island City, NY

Harilal G Nair Syamalakumari, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3244 31st St, Long Island City, NY 11106 Phone: 718-956-1771 Fax: 718-956-5890
Mr. Reginald Lao Tiu, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3310 Queens Blvd, Suite 301, Long Island City, NY 11101 Phone: 800-905-0513 Fax: 347-536-3955
Daniel Nakhro, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36-36 33rd Street, Suite 500, Long Island City, NY 11106 Phone: 212-589-1215
Ms. Ruby Rose Uy, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 46th Rd. Apt. 2a, Long Island City, NY 11101 Phone: 718-786-4296 Fax: 718-786-4296
Ms. Sheherezad Merzi Dubash, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 531 50th Ave, Long Island City, NY 11101 Phone: 732-861-5543 Fax: 646-839-2973
Spear Physical And Occupational Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4334 32nd Pl Ph, Long Island City, NY 11101 Phone: 646-973-5439 Fax: 212-379-2082
Maria G. Tom, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1024 49th Ave, Long Island City, NY 11101 Phone: 718-786-1104

Ismael M Mendoza, PT - Medicare Physical Therapist in Long Island City, NY