Justin D Ditheodore, PT in Vineland, NJ - Medicare Physical Therapy Provider

Justin D Ditheodore, PT is a medicare enrolled "Physical Therapist" provider in Vineland, New Jersey. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Premier Orthopaedic And Sports Medicine Assoc Of Southern Nj Llc and his current practice location is 298 S Delsea Dr, Vineland, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 690-1616.

Justin D Ditheodore is licensed to practice in New Jersey (license number 40QA01339000) 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 1073836656.

Contact Information

	Justin D Ditheodore, PT
	298 S Delsea Dr, Vineland, NJ 08360-4568
	(856) 690-1616
	(856) 690-1089

Map and Direction

Healthcare Provider's Profile

Full Name	Justin D Ditheodore
Gender	Male
Speciality	Physical Therapy
Experience	15 Years
Location	298 S Delsea Dr, Vineland, New Jersey
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:

Justin D Ditheodore graduated from medical school in 2009

NPI Data:

NPI Number: 1073836656
Provider Enumeration Date: 03/10/2010
Last Update Date: 04/29/2020

Medicare PECOS Information:

PECOS PAC ID: 3072640408
Enrollment ID: I20100416000245

Medical Identifiers

Medical identifiers for Justin D Ditheodore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073836656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA01339000 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Orthopaedic And Sports Medicine Assoc Of Southern Nj Llc	1557388436	36

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. Justin D Ditheodore allows following entities to bill medicare on his behalf.

Provider Name	Advanced Orthopaedic Centers, Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275574667 PECOS PAC ID: 1153309059 Enrollment ID: O20040708000501

Provider Name	Premier Orthopaedic And Sports Medicine Assoc Of Southern Nj Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396812574 PECOS PAC ID: 1557388436 Enrollment ID: O20051031000150

Provider Name	Reconstructive Orthopedics, Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659319002 PECOS PAC ID: 4183726144 Enrollment ID: O20070221000397

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. Justin D Ditheodore 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
Justin D Ditheodore, PT 352 S Delsea Dr Ste C, Vineland, NJ 08360-5306 Ph: (856) 690-1616	Justin D Ditheodore, PT 298 S Delsea Dr, Vineland, NJ 08360-4568 Ph: (856) 690-1616

Reviews and Comments

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Justin D Ditheodore, PT - Medicare Physical Therapist in Vineland, NJ