Mariah Idul, in Chesapeake, VA - Medicare Physical Therapist Provider

Mariah Idul, is a medicare enrolled "Physical Therapist" provider in Chesapeake, Virginia. Her current practice location is 501 Discovery Dr, Chesapeake, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 547-5145.

Mariah Idul is licensed to practice in Virginia (license number 2305214983) 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 1780314682.

Contact Information

	Mariah Idul,
	501 Discovery Dr, Chesapeake, VA 23320-3832
	(757) 547-5145
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mariah Idul
Gender	Female
Speciality	Physical Therapist
Location	501 Discovery Dr, Chesapeake, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780314682
Provider Enumeration Date: 06/14/2022
Last Update Date: 06/14/2022

Medicare PECOS Information:

PECOS PAC ID: 3779967203
Enrollment ID: I20220901002702

Medical Identifiers

Medical identifiers for Mariah Idul such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780314682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305214983 (Virginia)	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. Mariah Idul allows following entities to bill medicare on her behalf.

Provider Name	Sport Medicine And Orthopaedic Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043246556 PECOS PAC ID: 8921046616 Enrollment ID: O20050422000382

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. Mariah Idul 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
Mariah Idul, 4084 Concordia Way, Virginia Beach, VA 23453-1760 Ph: (757) 636-5849	Mariah Idul, 501 Discovery Dr, Chesapeake, VA 23320-3832 Ph: (757) 547-5145

Reviews and Comments

Physical Therapist in Chesapeake, VA

Michelle Lynn Higgins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 733 Volvo Pkwy, Chesapeake, VA 23320 Phone: 757-547-3135
Edwin Bryce Lee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 Technology Dr Ste 102, Chesapeake, VA 23320 Phone: 757-227-7600
Ms. May Dimabuyu Monzon, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 821 Cedar Rd, Chesapeake, VA 23322 Phone: 757-547-4528
Whitney Marie Randall, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 135 Hanbury Rd W Ste B, Chesapeake, VA 23322 Phone: 757-819-6512 Fax: 757-819-6517
Kirsteen Mitchell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2008 Dock Landing Rd, Chesapeake, VA 23321 Phone: 757-465-6300
Derrick Hale Baskin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Scenic Pkwy Ste 101, Chesapeake, VA 23323 Phone: 757-388-9950
Dr. Sandra Federico, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3800 Poplar Hill Rd Ste B, Chesapeake, VA 23321 Phone: 757-776-3088

Mariah Idul, - Medicare Physical Therapist in Chesapeake, VA