Michael P Bantolo, PT in La Habra, CA - Medicare Physical Therapy Provider

Michael P Bantolo, PT is a medicare enrolled "Physical Therapist" provider in La Habra, California. He graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Southern California Permanente Medical Group, California Luna Care Physical Therapy Pc and his current practice location is 1400 S Harbor Blvd, Suite B, La Habra, California. You can reach out to his office (for appointments etc.) via phone at (714) 441-0763.

Michael P Bantolo is licensed to practice in California (license number 26696) 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 1558486084.

Contact Information

	Michael P Bantolo, PT
	1400 S Harbor Blvd, Suite B, La Habra, CA 90631-7577
	(714) 441-0763
	(714) 441-0883

Map and Direction

Healthcare Provider's Profile

Full Name	Michael P Bantolo
Gender	Male
Speciality	Physical Therapy
Experience	26 Years
Location	1400 S Harbor Blvd, La Habra, 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:

Michael P Bantolo graduated from medical school in 1999

NPI Data:

NPI Number: 1558486084
Provider Enumeration Date: 03/21/2007
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 6305916735
Enrollment ID: I20081118000102

Medical Identifiers

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

Identifier	Type	State	Issuer
1558486084	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	26696 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172
California Luna Care Physical Therapy Pc	9638427834	565

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 P Bantolo allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Provider Name	California Luna Care Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123

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 P Bantolo 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 P Bantolo, PT 200 Newport Center Dr, #213, Newport Beach, CA 92660-7501 Ph: (949) 644-1322	Michael P Bantolo, PT 1400 S Harbor Blvd, Suite B, La Habra, CA 90631-7577 Ph: (714) 441-0763

Reviews and Comments

Physical Therapist in La Habra, CA

Christina Tamondong, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1770 W La Habra Blvd, La Habra, CA 90631 Phone: 714-773-0750
Mrs. Rosalie Guaring Navarro, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1400 S Harbor Blvd, Ste B, La Habra, CA 90631 Phone: 714-441-0763 Fax: 714-441-0883
Yunsun Choi, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 W La Habra Blvd, La Habra, CA 90631 Phone: 714-833-2084
Melissa Marie Urrutia-holcombe, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1791 Pine Dr, La Habra, CA 90631 Phone: 562-697-3343
Abraham Sanchez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 811 E Lambert Rd, La Habra, CA 90631 Phone: 714-612-4162
Healthy Life Choice Rehab, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 S Beach Blvd, B213, La Habra, CA 90631 Phone: 562-650-4720

Michael P Bantolo, PT - Medicare Physical Therapist in La Habra, CA