Mayron Mulugeta, DPT, PT in Oakland, CA - Medicare Physical Therapist Provider

Mayron Mulugeta, DPT, PT is a medicare enrolled "Physical Therapist" provider in Oakland, California. Her current practice location is 460 Boulevard Way, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 922-8872.

Mayron Mulugeta is licensed to practice in California (license number 303379) 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 1770249674.

Contact Information

	Mayron Mulugeta, DPT, PT
	460 Boulevard Way, Oakland, CA 94610
	(510) 922-8872
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mayron Mulugeta
Gender	Female
Speciality	Physical Therapist
Location	460 Boulevard Way, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770249674
Provider Enumeration Date: 11/15/2021
Last Update Date: 12/15/2022

Medicare PECOS Information:

PECOS PAC ID: 2567852791
Enrollment ID: I20211213002157

Medical Identifiers

Medical identifiers for Mayron Mulugeta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770249674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Georgia)	Secondary
225100000X	Physical Therapist	CP008395T (Virginia)	Secondary
225100000X	Physical Therapist	303379 (California)	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. Mayron Mulugeta allows following entities to bill medicare on her behalf.

Provider Name	Jackson Clinics Limited Partnership
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1639594831 PECOS PAC ID: 2860623295 Enrollment ID: O20140423000896

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. Mayron Mulugeta 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
Mayron Mulugeta, DPT, PT 460 Boulevard Way, Suite 2d, Oakland, CA 94610 Ph: () -	Mayron Mulugeta, DPT, PT 460 Boulevard Way, Oakland, CA 94610 Ph: (510) 922-8872

Reviews and Comments

Physical Therapist in Oakland, CA

Eric Biglang-awa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1814 Franklin St, Suite 905, Oakland, CA 94612 Phone: 510-893-7463
Suzanne P Whitcomb, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Mr. Matthew Gabrielson, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6221
Tammara J Moore, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4341 Piedmont Ave Ste 201, Oakland, CA 94611 Phone: 510-547-1630 Fax: 510-923-1944
Miss Denitza V Hristova, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Barbara Chan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-655-4000
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4341 Piedmont Ave Ste 201, Oakland, CA 94611 Phone: 510-547-1630

Mayron Mulugeta, DPT, PT - Medicare Physical Therapist in Oakland, CA