Mallikarjuna Prasad Suryamoni, PT in Titusville, FL - Medicare Physical Therapist Provider

Mallikarjuna Prasad Suryamoni, PT is a medicare enrolled "Physical Therapist" provider in Titusville, Florida. His current practice location is 1550 Jess Parrish Ct, Titusville, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 269-2200.

Mallikarjuna Prasad Suryamoni is licensed to practice in Florida (license number 25836) 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 1265703425.

Contact Information

	Mallikarjuna Prasad Suryamoni, PT
	1550 Jess Parrish Ct, Titusville, FL 32796-2147
	(321) 269-2200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mallikarjuna Prasad Suryamoni
Gender	Male
Speciality	Physical Therapist
Location	1550 Jess Parrish Ct, Titusville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265703425
Provider Enumeration Date: 01/19/2012
Last Update Date: 01/19/2012

Medicare PECOS Information:

PECOS PAC ID: 7618316654
Enrollment ID: I20240423003414

Medical Identifiers

Medical identifiers for Mallikarjuna Prasad Suryamoni such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265703425	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	25836 (Florida)	Primary
225100000X	Physical Therapist	0500977A (Indiana)	Secondary
225100000X	Physical Therapist	5501013526 (Michigan)	Secondary

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. Mallikarjuna Prasad Suryamoni allows following entities to bill medicare on his behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1871972653 PECOS PAC ID: 6507832573 Enrollment ID: O20150723009037

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. Mallikarjuna Prasad Suryamoni 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
Mallikarjuna Prasad Suryamoni, PT 3515 Sable Palm Ln Unit L, Titusville, FL 32780-5581 Ph: (618) 402-8723	Mallikarjuna Prasad Suryamoni, PT 1550 Jess Parrish Ct, Titusville, FL 32796-2147 Ph: (321) 269-2200

Reviews and Comments

Physical Therapist in Titusville, FL

Coast Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 N. Washington Ave, Ste 107, Titusville, FL 32796 Phone: 321-269-0800 Fax: 321-383-0404
Play Move Grow Pediatric Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2539 Norma St, Titusville, FL 32780 Phone: 321-446-0064
Tamera Pope, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1705 Jess Parrish Ct, Titusville, FL 32796 Phone: 321-269-5720
Yamilet Caridad Santiago, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2210 Cheney Hwy, Titusville, FL 32780 Phone: 321-268-6200
Karla Acevedo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4989 S Washington Ave, Titusville, FL 32780 Phone: 321-383-9606
Mrs. Joy Jennifer Grove, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1550 Jess Parrish Ct, Titusville, FL 32796 Phone: 321-269-2200

Mallikarjuna Prasad Suryamoni, PT - Medicare Physical Therapist in Titusville, FL