Matthew Alexander Bevacqua, DPT in Draper, UT - Medicare Physical Therapist Provider

Matthew Alexander Bevacqua, DPT is a medicare enrolled "Physical Therapist" provider in Draper, Utah. His current practice location is 65 E Wadsworth Park Dr Ste 230, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 308-8034.

Matthew Alexander Bevacqua is licensed to practice in Maryland (license number 25503) 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 1619358439.

Contact Information

	Matthew Alexander Bevacqua, DPT
	65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096
	(385) 308-8034
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Alexander Bevacqua
Gender	Male
Speciality	Physical Therapist
Location	65 E Wadsworth Park Dr Ste 230, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619358439
Provider Enumeration Date: 06/17/2015
Last Update Date: 03/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2860807310
Enrollment ID: I20210216002161

Medical Identifiers

Medical identifiers for Matthew Alexander Bevacqua such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619358439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT03402 (Rhode Island)	Secondary
225100000X	Physical Therapist	PT5966 (Maine)	Secondary
225100000X	Physical Therapist	13136 (Connecticut)	Secondary
225100000X	Physical Therapist	25535 (Massachusetts)	Secondary
225100000X	Physical Therapist	047378 (New York)	Secondary
225100000X	Physical Therapist	J1-0014396 (Delaware)	Secondary
225100000X	Physical Therapist	40QA02019100 (New Jersey)	Secondary
225100000X	Physical Therapist	5501301792 (Michigan)	Secondary
225100000X	Physical Therapist	PT200001236 (District Of Columbia)	Secondary
225100000X	Physical Therapist	25503 (Maryland)	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. Matthew Alexander Bevacqua allows following entities to bill medicare on his behalf.

Provider Name	Dmv Home Therapy Opco Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1699237560 PECOS PAC ID: 7517200751 Enrollment ID: O20190510000447

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. Matthew Alexander Bevacqua 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
Matthew Alexander Bevacqua, DPT 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096 Ph: (385) 308-8034	Matthew Alexander Bevacqua, DPT 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096 Ph: (385) 308-8034

Reviews and Comments

Physical Therapist in Draper, UT

Thomas J Tardif, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034
Mary Elizabeth Vandeven, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034
Mrs. Jana Whitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 E Wadsworth Park Dr Ste 320, Draper, UT 84020 Phone: 385-308-8034
Dr. Joseph Guido Dubato, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034
Cristina Cerrone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 200, Draper, UT 84020 Phone: 801-432-2070
Madison Sloss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034
Jordan Theresa Mansfield, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034

Matthew Alexander Bevacqua, DPT - Medicare Physical Therapist in Draper, UT