John James Sumilat, in Victorville, CA - Medicare Physical Therapist Provider

John James Sumilat, is a medicare enrolled "Physical Therapist" provider in Victorville, California. His current practice location is 17270 Bear Valley Rd Ste 105, Victorville, California. You can reach out to his office (for appointments etc.) via phone at (760) 245-8828.

John James Sumilat is licensed to practice in California (license number 303032) 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 1992421200.

Contact Information

	John James Sumilat,
	17270 Bear Valley Rd Ste 105, Victorville, CA 92395-7751
	(760) 245-8828
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	John James Sumilat
Gender	Male
Speciality	Physical Therapist
Location	17270 Bear Valley Rd Ste 105, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992421200
Provider Enumeration Date: 10/18/2022
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 0648625285
Enrollment ID: I20231017001261

Medical Identifiers

Medical identifiers for John James Sumilat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992421200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	303032 (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. John James Sumilat allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Provider Name	Power Center Physical Therapy Incorporated
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1508948837 PECOS PAC ID: 7214978865 Enrollment ID: O20050513000532

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 James Sumilat 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 James Sumilat, 3053 Prado Ln, Colton, CA 92324-9545 Ph: (909) 824-3126	John James Sumilat, 17270 Bear Valley Rd Ste 105, Victorville, CA 92395-7751 Ph: (760) 245-8828

Reviews and Comments

Physical Therapist in Victorville, CA

Joanne Ingram, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Ste E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062
Janette Joyce Mary Coppotelli, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Suite E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062
Nicholas Kasischke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15095 Amargosa Rd Ste 106, Victorville, CA 92394 Phone: 760-245-6495
Amanda Shin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17270 Bear Valley Rd Ste 105, Victorville, CA 92395 Phone: 760-245-8828
Karley Ruble, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12241 Industrial Blvd Ste 210, Victorville, CA 92395 Phone: 800-489-6905
Lauretta Marie Rustad, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12402 Industrial Blvd, Suite B-2, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062
Optimum Care Provider, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12381 Bali St, Victorville, CA 92392 Phone: 909-509-6064

John James Sumilat, - Medicare Physical Therapist in Victorville, CA