Karl Stephen Umali Mercado, PT - Medicare Physical Therapist in Jamaica, NY

Karl Stephen Umali Mercado, PT is a medicare enrolled "Physical Therapist" provider in Jamaica, New York. His current practice location is 17119 Hillside Ave, Jamaica, New York. You can reach out to his office (for appointments etc.) via phone at (718) 400-7000.

Karl Stephen Umali Mercado is licensed to practice in New York (license number 045592) 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 1922744960.

Contact Information

Karl Stephen Umali Mercado, PT
17119 Hillside Ave,
Jamaica, NY 11432-4548
(718) 400-7000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKarl Stephen Umali Mercado
GenderMale
SpecialityPhysical Therapist
Location17119 Hillside Ave, Jamaica, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922744960
  • Provider Enumeration Date: 05/11/2022
  • Last Update Date: 05/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012395833
  • Enrollment ID: I20220608000037

Medical Identifiers

Medical identifiers for Karl Stephen Umali Mercado such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922744960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 045592 (New York)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. Karl Stephen Umali Mercado allows following entities to bill medicare on his behalf.
Provider NameEsd Pt Ot & Slp Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003383308
PECOS PAC ID: 5991044125
Enrollment ID: O20190305001668
Provider NameActive United Care Physical Therapy, Pllc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1427661065
PECOS PAC ID: 5597184812
Enrollment ID: O20210217001873

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. Karl Stephen Umali Mercado 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 AddressPractice Location Address
Karl Stephen Umali Mercado, PT
8325 Dongan Ave Fl 2,
Elmhurst, NY 11373-3755

Ph: (718) 663-1630
Karl Stephen Umali Mercado, PT
17119 Hillside Ave,
Jamaica, NY 11432-4548

Ph: (718) 400-7000

Reviews and Comments


Physical Therapist in Jamaica, NY

Jane Adigue Almero, PT
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Phone: 646-944-1716    Fax: 347-392-4107
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Phone: 917-597-4146    Fax: 718-847-0140
Dr. Kammar J Andries, DPT
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Phone: 917-854-1902    
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Medicare: Medicare Enrolled
Practice Location: 8908 171st St, Jamaica, NY 11432
Phone: 917-783-4613    Fax: 917-677-6617
Lakshman S Nekkanti, PT
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Practice Location: 14123 81st Ave, Jamaica, NY 11435
Phone: 940-390-1882    
Modesto Alvin Chua Camacho, PT
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Medicare: Medicare Enrolled
Practice Location: 18726 87th Rd, Jamaica, NY 11432
Phone: 718-454-4315    Fax: 718-454-4315
Mj Physical Therapy, P.c.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8027 135th St, Jamaica, NY 11435
Phone: 917-902-4244    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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