Mark Luck Lito Villa Cubillas, RPT in Sonoma, CA - Medicare Physical Therapy Provider

Mark Luck Lito Villa Cubillas, RPT is a medicare enrolled "Physical Therapist" provider in Sonoma, California. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice San Ramon Valley Physical Therapy Inc and his current practice location is 1250 Broadway, Sonoma, California. You can reach out to his office (for appointments etc.) via phone at (707) 938-8406.

Mark Luck Lito Villa Cubillas is licensed to practice in California (license number 294596) 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 1083388581.

Contact Information

	Mark Luck Lito Villa Cubillas, RPT
	1250 Broadway, Sonoma, CA 95476-7500
	(707) 938-8406
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Luck Lito Villa Cubillas
Gender	Male
Speciality	Physical Therapy
Experience	9 Years
Location	1250 Broadway, Sonoma, 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:

Mark Luck Lito Villa Cubillas graduated from medical school in 2015

NPI Data:

NPI Number: 1083388581
Provider Enumeration Date: 08/06/2021
Last Update Date: 08/06/2021

Medicare PECOS Information:

PECOS PAC ID: 0941696777
Enrollment ID: I20220406001924

Medical Identifiers

Medical identifiers for Mark Luck Lito Villa Cubillas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083388581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	294596 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
San Ramon Valley Physical Therapy Inc	6901874023	10

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. Mark Luck Lito Villa Cubillas allows following entities to bill medicare on his behalf.

Provider Name	San Ramon Valley Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1215005921 PECOS PAC ID: 6901874023 Enrollment ID: O20040916001393

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. Mark Luck Lito Villa Cubillas 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
Mark Luck Lito Villa Cubillas, RPT 885 Broadway Apt 9, Sonoma, CA 95476-7027 Ph: (415) 629-2020	Mark Luck Lito Villa Cubillas, RPT 1250 Broadway, Sonoma, CA 95476-7500 Ph: (707) 938-8406

Reviews and Comments

Physical Therapist in Sonoma, CA

Angela Cuento Marian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 347 Andrieux St, Sonoma, CA 95476 Phone: 707-935-5000
Marek Romuald Grzybowski, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 347 Andrieux St, Sonoma, CA 95476 Phone: 707-935-5345
Julius Carandang Rivera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19312 Highway 12, Sonoma, CA 95476 Phone: 707-935-5345 Fax: 707-935-5423
Mr. Michael Joseph Kelly, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17350 Vailetti Dr, Sonoma, CA 95476 Phone: 707-935-3230 Fax: 707-935-8481
Kyle Everett Baird, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18145 Riverside Dr, Sonoma, CA 95476 Phone: 707-933-8592
Dr. Beau Renaud, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 347 Andrieux St, Sonoma, CA 95476 Phone: 707-935-5000

Mark Luck Lito Villa Cubillas, RPT - Medicare Physical Therapist in Sonoma, CA