Laura Jaclyn Bosch, PT in Burlingame, CA - Medicare Physical Therapist Provider

Laura Jaclyn Bosch, PT is a medicare enrolled "Physical Therapist" provider in Burlingame, California. Her current practice location is 1541 Old Bayshore Hwy, Burlingame, California. You can reach out to her office (for appointments etc.) via phone at (650) 638-9142.

Laura Jaclyn Bosch is licensed to practice in California (license number 291963) 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 1235686775.

Contact Information

	Laura Jaclyn Bosch, PT
	1541 Old Bayshore Hwy, Burlingame, CA 94010-1602
	(650) 638-9142
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laura Jaclyn Bosch
Gender	Female
Speciality	Physical Therapist
Location	1541 Old Bayshore Hwy, Burlingame, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235686775
Provider Enumeration Date: 09/01/2016
Last Update Date: 03/24/2024

Medicare PECOS Information:

PECOS PAC ID: 9830472166
Enrollment ID: I20170213001313

Medical Identifiers

Medical identifiers for Laura Jaclyn Bosch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235686775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	291963 (California)	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. Laura Jaclyn Bosch allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Laura Jaclyn Bosch 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
Laura Jaclyn Bosch, PT Po Box 1451, El Granada, CA 94018-1451 Ph: () -	Laura Jaclyn Bosch, PT 1541 Old Bayshore Hwy, Burlingame, CA 94010-1602 Ph: (650) 638-9142

Reviews and Comments

Physical Therapist in Burlingame, CA

Fayeza F Mullamithawala, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1740 Marco Polo Way, Suite 3, Burlingame, CA 94010 Phone: 650-552-9355
Dr. Maral Hassanshahi, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1008 Carolan Ave Apt 1318, Burlingame, CA 94010 Phone: 202-790-2938 Fax: 650-288-6883
Ms. Annette N Doherty, MPT, CEASII, IASTM Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 329 Primrose Rd # 117385, Burlingame, CA 94010 Phone: 415-295-2014
Brianna Huey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1541 Old Bayshore Hwy, Burlingame, CA 94010 Phone: 650-638-9142
Mohamed Aziz, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1860 El Camino Real Ste 420, Burlingame, CA 94010 Phone: 650-652-2376
Heta Soparkar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1633 Old Bayshore Hwy Ste 234, Burlingame, CA 94010 Phone: 650-991-5177
Nicole Walters, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1541 Old Bayshore Hwy, Burlingame, CA 94010 Phone: 650-638-9142 Fax: 650-638-9141

Laura Jaclyn Bosch, PT - Medicare Physical Therapist in Burlingame, CA