Joemar R Gongon, in Greenwood, MS - Medicare Physical Therapist Provider

Joemar R Gongon, is a medicare enrolled "Physical Therapist" provider in Greenwood, Mississippi. His current practice location is 902 Sgt John A Pittman Dr, Greenwood, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 453-9173.

Joemar R Gongon is licensed to practice in Mississippi (license number PT4811) 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 1033401823.

Contact Information

	Joemar R Gongon,
	902 Sgt John A Pittman Dr, Greenwood, MS 38930-7343
	(662) 453-9173
	(662) 455-4933

Map and Direction

Healthcare Provider's Profile

Full Name	Joemar R Gongon
Gender	Male
Speciality	Physical Therapist
Location	902 Sgt John A Pittman Dr, Greenwood, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033401823
Provider Enumeration Date: 05/11/2011
Last Update Date: 05/11/2011

Medicare PECOS Information:

PECOS PAC ID: 4587020862
Enrollment ID: I20230510003314

Medical Identifiers

Medical identifiers for Joemar R Gongon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033401823	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT4811 (Mississippi)	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. Joemar R Gongon allows following entities to bill medicare on his behalf.

Provider Name	Decatur Ent Associates Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164487708 PECOS PAC ID: 2163478629 Enrollment ID: O20050328000748

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. Joemar R Gongon 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
Joemar R Gongon, 902 Sgt John A Pittman Dr, Greenwood, MS 38930-7343 Ph: (662) 453-9173	Joemar R Gongon, 902 Sgt John A Pittman Dr, Greenwood, MS 38930-7343 Ph: (662) 453-9173

Reviews and Comments

Physical Therapist in Greenwood, MS

Jim Shaw, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 702 Highway 82 W Ste B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468
Elevate Physical Therapy And Wellness, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 Professional Pl, Greenwood, MS 38930 Phone: 662-897-4835
Mrs. Amanda G. Harris, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Highway 82 W, B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468
Mrs. Kathryn Sloane Fair, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Highway 82 W Ste B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468
Advanced Rehabilitation, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 702 Highway 82 West, Ste B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468
Connie Cordell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Hwy 82w Suite B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468

Joemar R Gongon, - Medicare Physical Therapist in Greenwood, MS