Jasmine Mireya Gongora, DPT in Indio, CA - Medicare Physical Therapist Provider

Jasmine Mireya Gongora, DPT is a medicare enrolled "Physical Therapist" provider in Indio, California. Her current practice location is 81557 Dr Carreon Blvd Ste C4, Indio, California. You can reach out to her office (for appointments etc.) via phone at (760) 347-6195.

Jasmine Mireya Gongora is licensed to practice in California (license number PT305678) 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 1093590093.

Contact Information

	Jasmine Mireya Gongora, DPT
	81557 Dr Carreon Blvd Ste C4, Indio, CA 92201-5562
	(760) 347-6195
	(760) 347-2849

Map and Direction

Healthcare Provider's Profile

Full Name	Jasmine Mireya Gongora
Gender	Female
Speciality	Physical Therapist
Location	81557 Dr Carreon Blvd Ste C4, Indio, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093590093
Provider Enumeration Date: 08/28/2023
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 8022464148
Enrollment ID: I20231026000638

Medical Identifiers

Medical identifiers for Jasmine Mireya Gongora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093590093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT305678 (California)	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. Jasmine Mireya Gongora allows following entities to bill medicare on her behalf.

Provider Name	Multicare Health System
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

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. Jasmine Mireya Gongora 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
Jasmine Mireya Gongora, DPT 408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135 Ph: (805) 788-0805	Jasmine Mireya Gongora, DPT 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201-5562 Ph: (760) 347-6195

Reviews and Comments

Physical Therapist in Indio, CA

Dr. Devlin Alexander Dizacomo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849
Dr. Jonathan Michael Elbert, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 80629 Declaration Ave, Indio, CA 92201 Phone: 515-341-9738
Leo J King, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 82013 Dr Carreon Blvd, Suite I, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849
Jillian Kitterick, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849
Ian Halderman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849
Sara M Schuldt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849

Jasmine Mireya Gongora, DPT - Medicare Physical Therapist in Indio, CA