Michelle Desousa, in New London, CT - Medicare Physical Therapist Provider

Michelle Desousa, is a medicare enrolled "Physical Therapist" provider in New London, Connecticut. Her current practice location is 31 Vauxhall St, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 442-4363.

Michelle Desousa is licensed to practice in Connecticut (license number 010830) 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 1912443649.

Contact Information

	Michelle Desousa,
	31 Vauxhall St, New London, CT 06320-5723
	(860) 442-4363
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Desousa
Gender	Female
Speciality	Physical Therapist
Location	31 Vauxhall St, New London, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912443649
Provider Enumeration Date: 01/19/2017
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8325400872
Enrollment ID: I20230815002299

Medical Identifiers

Medical identifiers for Michelle Desousa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912443649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	010830 (Connecticut)	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. Michelle Desousa allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Michelle Desousa 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
Michelle Desousa, 31 Vauxhall St, New London, CT 06320-5723 Ph: (860) 442-4363	Michelle Desousa, 31 Vauxhall St, New London, CT 06320-5723 Ph: (860) 442-4363

Reviews and Comments

Physical Therapist in New London, CT

Ptsma Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 668 Bank St, New London, CT 06320 Phone: 860-442-4600
Andrea Spelman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 635 Broad St, New London, CT 06320 Phone: 860-409-4595 Fax: 860-409-4860
Caitlyn Ayotte, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 635 Broad St, New London, CT 06320 Phone: 860-447-8558
Carole L. Moore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Shaws Cv, Ste 101, New London, CT 06320 Phone: 860-447-3009 Fax: 860-447-1320
Sarah Whitney Bennett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 Vauxhall St, New London, CT 06320 Phone: 860-442-4363 Fax: 860-447-3749
Ashley Pleva, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 860-739-4556
Traci O'brien, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 635 Broad St, New London, CT 06320 Phone: 860-447-8558 Fax: 860-447-4552

Michelle Desousa, - Medicare Physical Therapist in New London, CT