Khail Edsel Ronquillo Velicaria, in Ellenwood, GA - Medicare Physical Therapist Provider

Khail Edsel Ronquillo Velicaria, is a medicare enrolled "Physical Therapist" provider in Ellenwood, Georgia. His current practice location is 2838 E Atlanta Rd Ste 2, Ellenwood, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 782-3609.

Khail Edsel Ronquillo Velicaria is licensed to practice in * (Not Available) (license number ) 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 1780460279.

Contact Information

	Khail Edsel Ronquillo Velicaria,
	2838 E Atlanta Rd Ste 2, Ellenwood, GA 30294-2780
	(678) 782-3609
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Khail Edsel Ronquillo Velicaria
Gender	Male
Speciality	Physical Therapist
Location	2838 E Atlanta Rd Ste 2, Ellenwood, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780460279
Provider Enumeration Date: 08/31/2023
Last Update Date: 09/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4688014350
Enrollment ID: I20240429000580

Medical Identifiers

Medical identifiers for Khail Edsel Ronquillo Velicaria such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780460279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	012282 (Connecticut)	Secondary
225100000X	Physical Therapist	(* (Not Available))	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. Khail Edsel Ronquillo Velicaria allows following entities to bill medicare on his behalf.

Provider Name	Independent Physical Therapy Of Georgia Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396

Provider Name	Benchmark Physical Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120

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. Khail Edsel Ronquillo Velicaria 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
Khail Edsel Ronquillo Velicaria, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () -	Khail Edsel Ronquillo Velicaria, 2838 E Atlanta Rd Ste 2, Ellenwood, GA 30294-2780 Ph: (678) 782-3609

Reviews and Comments

Physical Therapist in Ellenwood, GA

Tamala Blevins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4041 Smithfield Trl, Ellenwood, GA 30294 Phone: 404-520-2675
Miss Latalvia Paramore, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3056 Anvil Block Rd Ste 118, Ellenwood, GA 30294 Phone: 404-366-8100
Dr. Nsikak Alex Essienumoh, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3056 Anvil Block Rd, Suite 118, Ellenwood, GA 30294 Phone: 404-366-8100 Fax: 404-366-8106
Niah Yvette Fulford, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2838 E Atlanta Rd Ste 2, Ellenwood, GA 30294 Phone: 678-782-3609 Fax: 678-782-3803
Cierra Deonika Thornton, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2838 E Atlanta Rd Ste 2, Ellenwood, GA 30294 Phone: 678-782-3609 Fax: 678-782-3803
Amber Holmes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 145 Huntcliff Trl, Ellenwood, GA 30294 Phone: 310-210-2291
Independent Physical Therapy Of Ga Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2838 E Atlanta Rd Ste 2, Ellenwood, GA 30294 Phone: 833-308-0278

Khail Edsel Ronquillo Velicaria, - Medicare Physical Therapist in Ellenwood, GA