Jericho Fulache, in Arcadia, CA - Medicare Physical Therapist Provider

Jericho Fulache, is a medicare enrolled "Physical Therapist" provider in Arcadia, California. His current practice location is 5522 Gracewood Ave, Arcadia, California. You can reach out to his office (for appointments etc.) via phone at (626) 579-0310.

Jericho Fulache is licensed to practice in California (license number 300829) 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 1376211706.

Contact Information

	Jericho Fulache,
	5522 Gracewood Ave, Arcadia, CA 91007-8409
	(626) 579-0310
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jericho Fulache
Gender	Male
Speciality	Physical Therapist
Location	5522 Gracewood Ave, Arcadia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376211706
Provider Enumeration Date: 08/31/2021
Last Update Date: 08/31/2021

Medicare PECOS Information:

PECOS PAC ID: 7618335449
Enrollment ID: I20230626002925

Medical Identifiers

Medical identifiers for Jericho Fulache such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376211706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	300829 (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. Jericho Fulache allows following entities to bill medicare on his behalf.

Provider Name	New Life Physical Therapy Services Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1285160788 PECOS PAC ID: 7214207125 Enrollment ID: O20170726001800

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. Jericho Fulache 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
Jericho Fulache, 3208 Hacienda Dr, Duarte, CA 91010-2313 Ph: (626) 298-1328	Jericho Fulache, 5522 Gracewood Ave, Arcadia, CA 91007-8409 Ph: (626) 579-0310

Reviews and Comments

Physical Therapist in Arcadia, CA

Patricia Venegas, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 440 E Huntington Dr, Suite 104, Arcadia, CA 91006 Phone: 626-623-1122 Fax: 626-623-1130
Bout2bebetter Physical Therapy Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 24 N 1st Ave, Arcadia, CA 91006 Phone: 626-228-4696 Fax: 626-348-8926
Sarah Grace Jose, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2955 Mayflower Ave Apt 35, Arcadia, CA 91006 Phone: 626-353-7526
Dr. Fernando Antonio Villar, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 50 E Foothill Blvd Ste 100, Arcadia, CA 91006 Phone: 626-445-2400
Paul Max Norick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 289 W Huntington Dr Ste 103, Arcadia, CA 91007 Phone: 626-396-8150 Fax: 626-623-1037
Fortanasce Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 671 Naomi Avenue, Arcadia, CA 91007 Phone: 626-446-7027 Fax: 626-446-4723
Dr. Monique Jolie Charbonnet, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 E Foothill Blvd Ste 100, Arcadia, CA 91006 Phone: 626-445-2400 Fax: 626-445-2419

Jericho Fulache, - Medicare Physical Therapist in Arcadia, CA