Jonald Boyles Evangelista, DPT in Allen Park, MI - Medicare Physical Therapist Provider

Jonald Boyles Evangelista, DPT is a medicare enrolled "Physical Therapist" provider in Allen Park, Michigan. His current practice location is 3157 Fairlane Dr, Allen Park, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 827-0099.

Jonald Boyles Evangelista is licensed to practice in Nevada (license number 4240) 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 1770128746.

Contact Information

	Jonald Boyles Evangelista, DPT
	3157 Fairlane Dr, Allen Park, MI 48101-2866
	(313) 827-0099
	(313) 749-0480

Map and Direction

Healthcare Provider's Profile

Full Name	Jonald Boyles Evangelista
Gender	Male
Speciality	Physical Therapist
Location	3157 Fairlane Dr, Allen Park, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770128746
Provider Enumeration Date: 11/13/2019
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 6002228830
Enrollment ID: I20231027002642

Medical Identifiers

Medical identifiers for Jonald Boyles Evangelista such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770128746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	032653 (New York)	Secondary
225100000X	Physical Therapist	4240 (Nevada)	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. Jonald Boyles Evangelista allows following entities to bill medicare on his behalf.

Provider Name	Michigan Rehabilitation Specialists Of Fowlerville Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1669531166 PECOS PAC ID: 6204730393 Enrollment ID: O20130927000721

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. Jonald Boyles Evangelista 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
Jonald Boyles Evangelista, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206	Jonald Boyles Evangelista, DPT 3157 Fairlane Dr, Allen Park, MI 48101-2866 Ph: (313) 827-0099

Reviews and Comments

Physical Therapist in Allen Park, MI

Nicholas Cacicedo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16000 Southfield Rd, Allen Park, MI 48101 Phone: 313-359-8867 Fax: 313-359-8868
Noor Hamed, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Republic Dr, Allen Park, MI 48101 Phone: 313-522-5777 Fax: 313-436-5188
Mrs. Laura Luann Agemak, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7445 Allen Rd Ste 102, Allen Park, MI 48101 Phone: 313-389-5600 Fax: 313-389-0288
Mihir Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15636 Southfield Rd, Allen Park, MI 48101 Phone: 313-928-0700
Bushra Munawar, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7312 Park Ave, Allen Park, MI 48101 Phone: 313-382-3844 Fax: 313-382-3844
Pioneer Physical Therapy & Rehab P C Physical Therapist Medicare: Medicare Enrolled Practice Location: 7312 Park Ave, Allen Park, MI 48101 Phone: 313-382-3844 Fax: 313-382-3748
Monica Yalamanchili, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7445 Regina Ave, Allen Park, MI 48101 Phone: 313-389-5600

Jonald Boyles Evangelista, DPT - Medicare Physical Therapist in Allen Park, MI