Komal Gummadivally, in Franklin Square, NY - Medicare Physical Therapist Provider

Komal Gummadivally, is a medicare enrolled "Physical Therapist" provider in Franklin Square, New York. Her current practice location is 820 Hemstead Turnpike, Franklin Square, New York. You can reach out to her office (for appointments etc.) via phone at (516) 440-2277.

Komal Gummadivally is licensed to practice in New York (license number 050651) 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 1962287532.

Contact Information

	Komal Gummadivally,
	820 Hemstead Turnpike, Franklin Square, NY 11010
	(516) 440-2277
	(516) 358-8960

Map and Direction

Healthcare Provider's Profile

Full Name	Komal Gummadivally
Gender	Female
Speciality	Physical Therapist
Location	820 Hemstead Turnpike, Franklin Square, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962287532
Provider Enumeration Date: 08/30/2023
Last Update Date: 08/30/2023

Medicare PECOS Information:

PECOS PAC ID: 2961857693
Enrollment ID: I20231016001209

Medical Identifiers

Medical identifiers for Komal Gummadivally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962287532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	050651 (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. Komal Gummadivally allows following entities to bill medicare on her behalf.

Provider Name	Rb Physical And Occupational Therapy, Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1790013282 PECOS PAC ID: 5294870226 Enrollment ID: O20100302000766

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. Komal Gummadivally 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
Komal Gummadivally, 179 7th St, Hicksville, NY 11801-5429 Ph: (316) 300-6972	Komal Gummadivally, 820 Hemstead Turnpike, Franklin Square, NY 11010 Ph: (516) 440-2277

Reviews and Comments

Physical Therapist in Franklin Square, NY

Chae Lin Yoo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 925 Hempstead Tpke # 310, Franklin Square, NY 11010 Phone: 516-354-3980
Gregory Pando, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 Dogwood Ave, Franklin Square, NY 11010 Phone: 516-437-5300 Fax: 516-437-2936
Mrs. Susan Sisselman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 562 Dogwood Avenue, Franklin Square, NY 11010 Phone: 516-538-2259 Fax: 516-292-0817
Dynamic Physical Therapy P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 936 Roosevelt St, Franklin Square, NY 11010 Phone: 516-355-0547 Fax: 516-326-8251
Stephanie Lynn Barken, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Hempstead Tpke Ste 310, Franklin Square, NY 11010 Phone: 516-354-3980
Gabriella Davidson, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 925 Hempstead Tpke Ste 310, Franklin Square, NY 11010 Phone: 516-354-3980
Francesco Vaccaro, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 Hempstead Tpke, Franklin Square, NY 11010 Phone: 516-358-8911

Komal Gummadivally, - Medicare Physical Therapist in Franklin Square, NY