Michael Evangelist, MSPT in West Orange, NJ - Medicare Physical Therapy Provider

Michael Evangelist, MSPT is a medicare enrolled "Physical Therapist" provider in West Orange, New Jersey. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Jag-one Physical Therapy Llc and his current practice location is 622 Eagle Rock Ave, West Orange, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 669-0078.

Michael Evangelist is licensed to practice in New Jersey (license number 40QA01129500) 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 1780735316.

Contact Information

	Michael Evangelist, MSPT
	622 Eagle Rock Ave, West Orange, NJ 07052-2994
	(973) 669-0078
	(973) 669-1113

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Evangelist
Gender	Male
Speciality	Physical Therapy
Experience	20 Years
Location	622 Eagle Rock Ave, West Orange, New Jersey
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:

Michael Evangelist graduated from medical school in 2004

NPI Data:

NPI Number: 1780735316
Provider Enumeration Date: 01/12/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8325140999
Enrollment ID: I20070228000398

Medical Identifiers

Medical identifiers for Michael Evangelist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780735316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA01129500 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jag-one Physical Therapy Llc	2769584325	223

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. Michael Evangelist allows following entities to bill medicare on his behalf.

Provider Name	Jag-one Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518017144 PECOS PAC ID: 2769584325 Enrollment ID: O20070228000306

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. Michael Evangelist 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
Michael Evangelist, MSPT 715 Clinton St, Apt 17, Hoboken, NJ 07030-2841 Ph: (973) 669-0078	Michael Evangelist, MSPT 622 Eagle Rock Ave, West Orange, NJ 07052-2994 Ph: (973) 669-0078

Reviews and Comments

Physical Therapist in West Orange, NJ

Elizabeth Caputo, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-243-6940 Fax: 973-243-6967
David Currie King, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6842
Dr. Sandra Wojciehowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755
Raphael Moreno, Physical Therapist Medicare: Medicare Enrolled Practice Location: 622 Eagle Rock Ave, West Orange, NJ 07052 Phone: 973-669-0078
Jaceline D Dejean, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 445 Pleasant Valley Way, West Orange, NJ 07052 Phone: 862-520-4027
Abigail Reid, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6967
Ms. Leslie Prendergast, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Manger Rd, West Orange, NJ 07052 Phone: 973-736-7121

Michael Evangelist, MSPT - Medicare Physical Therapist in West Orange, NJ