Jason M Lydell, DPT in West New York, NJ - Medicare Physical Therapist Provider

Jason M Lydell, DPT is a medicare enrolled "Physical Therapist" provider in West New York, New Jersey. His current practice location is 6701 Bergenline Ave, West New York, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 758-9100.

Jason M Lydell is licensed to practice in New Jersey (license number 40QA01752500) 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 1396263497.

Contact Information

	Jason M Lydell, DPT
	6701 Bergenline Ave, West New York, NJ 07093-1704
	(201) 758-9100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jason M Lydell
Gender	Male
Speciality	Physical Therapist
Location	6701 Bergenline Ave, West New York, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396263497
Provider Enumeration Date: 09/08/2017
Last Update Date: 06/13/2024

Medicare PECOS Information:

PECOS PAC ID: 3971951294
Enrollment ID: I20231128001268

Medical Identifiers

Medical identifiers for Jason M Lydell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396263497	NPI	-	NPPES
40QA01752500	Other	NJ	PHYSICAL THERAPY LISCENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA01752500 (New Jersey)	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. Jason M Lydell allows following entities to bill medicare on his behalf.

Provider Name	Community Rehab, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1932218773 PECOS PAC ID: 3173428562 Enrollment ID: O20031126000486

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. Jason M Lydell 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
Jason M Lydell, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Jason M Lydell, DPT 6701 Bergenline Ave, West New York, NJ 07093-1704 Ph: (201) 758-9100

Reviews and Comments

Physical Therapist in West New York, NJ

Nicholas King, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6120 Buchanan Pl Fl 2, West New York, NJ 07093 Phone: 201-758-5238
Dr. Fernando Enrique Gomez Ii, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6612-18 Bergenline Ave, West New York, NJ 07093 Phone: 201-854-5511
Ms. Elvis Lamotte Velez, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4914 Kennedy Blvd, Suite 204, West New York, NJ 07093 Phone: 201-974-1433 Fax: 206-974-1437
Francisco Merino, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6612 Bergenline Ave # 18, West New York, NJ 07093 Phone: 201-845-5511 Fax: 201-848-5522
Gaius Ghattas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6701 Bergenline Ave, West New York, NJ 07093 Phone: 732-979-7456
Mr. John D Rector Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Kennedy Blvd E Apt 20m, West New York, NJ 07093 Phone: 516-818-9820
Denmari Berberabe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6000 John F. Kennedy Boulevard, West New York, NJ 07093 Phone: 201-758-0099

Jason M Lydell, DPT - Medicare Physical Therapist in West New York, NJ