John H Lacoboulos, PT is a medicare enrolled "Physical Therapist" provider in Eddystone, Pennsylvania. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Physical Therapy. His current practice location is
1401 Chester Pike, Eddystone, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(866) 557-9430.
John H Lacoboulos is licensed to practice in Pennsylvania (license number PT013028L) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881668226.
Healthcare Provider's Profile
Full Name | John H Lacoboulos |
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Gender | Male |
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Speciality | Physical Therapy |
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Experience | 25 Years |
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Location | 1401 Chester Pike, Eddystone, Pennsylvania |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- John H Lacoboulos graduated from medical school in 1999
NPI Data:
- NPI Number: 1881668226
- Provider Enumeration Date: 02/14/2006
- Last Update Date: 08/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 9133198377
- Enrollment ID: I20040925000046
Medical Identifiers
Medical identifiers for John H Lacoboulos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881668226 | NPI | - | NPPES |
0017783000 | Other | PA | IBC |
001952664-0003 | Medicaid | PA | |
1952664 | Medicaid | PA | |
338203 | Other | PA | HIGHMARK BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT013028L (Pennsylvania) | 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. John H Lacoboulos allows following entities to bill medicare on his behalf.
Provider Name | Synergy Physical Therapy And Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1215220470 PECOS PAC ID: 5890964894 Enrollment ID: O20110809000247 |
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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. John H Lacoboulos 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 |
John H Lacoboulos, PT 1401 Chester Pike, Eddystone, PA 19022-1336 Ph: (866) 557-9430 | John H Lacoboulos, PT 1401 Chester Pike, Eddystone, PA 19022-1336 Ph: (866) 557-9430 |
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