Leandro Modenese Bastos, PT DPT in Lake Elsinore, CA - Medicare Physical Therapy Provider

Leandro Modenese Bastos, PT DPT is a medicare enrolled "Physical Therapist" provider in Lake Elsinore, California. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Gordon Physical Therapy Pllc and his current practice location is 425 Diamond Dr Ste 101, Lake Elsinore, California. You can reach out to his office (for appointments etc.) via phone at (951) 674-9515.

Leandro Modenese Bastos is licensed to practice in California (license number 296037) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679045546.

Contact Information

	Leandro Modenese Bastos, PT DPT
	425 Diamond Dr Ste 101, Lake Elsinore, CA 92530-4495
	(951) 674-9515
	(951) 674-9517

Map and Direction

Healthcare Provider's Profile

Full Name	Leandro Modenese Bastos
Gender	Male
Speciality	Physical Therapy
Experience	6 Years
Location	425 Diamond Dr Ste 101, Lake Elsinore, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Leandro Modenese Bastos graduated from medical school in 2018

NPI Data:

NPI Number: 1679045546
Provider Enumeration Date: 12/17/2018
Last Update Date: 07/25/2019

Medicare PECOS Information:

PECOS PAC ID: 4082952452
Enrollment ID: I20211109003612

Medical Identifiers

Medical identifiers for Leandro Modenese Bastos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679045546	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	296037 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gordon Physical Therapy Pllc	1153229596	9

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. Leandro Modenese Bastos allows following entities to bill medicare on his behalf.

Provider Name	Gordon Physical Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265585335 PECOS PAC ID: 1153229596 Enrollment ID: O20031223000267

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. Leandro Modenese Bastos 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
Leandro Modenese Bastos, PT DPT 1060 Vale Terrace Dr Apt 8, Vista, CA 92084-5228 Ph: (562) 212-8477	Leandro Modenese Bastos, PT DPT 425 Diamond Dr Ste 101, Lake Elsinore, CA 92530-4495 Ph: (951) 674-9515

Reviews and Comments

Physical Therapist in Lake Elsinore, CA

Nancy Noelle Grieger, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20701 Cereal St, Skydive Elsinore, Team Room 8, Lake Elsinore, CA 92530 Phone: 702-904-0178
Jamela Lavina Barber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31764 Casino Dr, Suite 106, Lake Elsinore, CA 92530 Phone: 951-471-3300 Fax: 951-471-3301
Rancho Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Central Ave Ste C, Lake Elsinore, CA 92530 Phone: 951-696-9353 Fax: 951-973-7216
Miranda Rose Paasche, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Diamond Dr Ste 101, Lake Elsinore, CA 92530 Phone: 951-674-9515 Fax: 951-674-9517
Trusha P Patel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31764 Casino Dr Ste 106, Lake Elsinore, CA 92530 Phone: 951-471-3300
Janaz Ghadiali, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31764 Casino Dr, Suite 106a, Lake Elsinore, CA 92530 Phone: 951-471-3300 Fax: 951-471-3301
Dr. Ismael Salgado Gallo, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 32869 Autumn Wood Cir, Lake Elsinore, CA 92530 Phone: 909-262-5768

Leandro Modenese Bastos, PT DPT - Medicare Physical Therapist in Lake Elsinore, CA