Kinjal Vyas, is a medicare enrolled "Physical Therapist" provider in Wyandanch, New York. Her current practice location is
32 Station Dr, Wyandanch, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 242-4545.
Kinjal Vyas is licensed to practice in New York (license number 042967) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538708094.
Healthcare Provider's Profile
| Full Name | Kinjal Vyas |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 32 Station Dr, Wyandanch, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538708094
- Provider Enumeration Date: 01/02/2020
- Last Update Date: 01/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 1153764840
- Enrollment ID: I20240209001569
Medical Identifiers
Medical identifiers for Kinjal Vyas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538708094 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 042967 (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. Kinjal Vyas allows following entities to bill medicare on her behalf.
| Provider Name | Li Care Physical Therapy And Occupational Therapy Pllc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1184226128
PECOS PAC ID: 4587076195
Enrollment ID: O20201223000743 |
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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. Kinjal Vyas 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 |
|---|
Kinjal Vyas,
2103 Deer Park Avenue,
Deer Park, NY 11729
Ph: (631) 242-4545 | Kinjal Vyas,
32 Station Dr,
Wyandanch, NY 11798-3436
Ph: (631) 242-4545 |
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