Mira Ecila Villamarzo Castillo, PT, DPT, GCS in Galesburg, IL

Mira Ecila Villamarzo Castillo, PT, DPT, GCS is a medicare enrolled "Physical Therapist" provider in Galesburg, Illinois. Her current practice location is 280 E Losey St, Galesburg, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 343-2166.

Mira Ecila Villamarzo Castillo is licensed to practice in * (Not Available) (license number ) 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 1720567985.

Contact Information

	Mira Ecila Villamarzo Castillo, PT, DPT, GCS
	280 E Losey St, Galesburg, IL 61401-2819
	(309) 343-2166
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mira Ecila Villamarzo Castillo
Gender	Female
Speciality	Physical Therapist
Location	280 E Losey St, Galesburg, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720567985
Provider Enumeration Date: 08/08/2018
Last Update Date: 08/08/2018

Medicare PECOS Information:

PECOS PAC ID: 9537524897
Enrollment ID: I20230420002867

Medical Identifiers

Medical identifiers for Mira Ecila Villamarzo Castillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720567985	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Mira Ecila Villamarzo Castillo allows following entities to bill medicare on her behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1427454164 PECOS PAC ID: 2365359932 Enrollment ID: O20150529002032

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. Mira Ecila Villamarzo Castillo 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
Mira Ecila Villamarzo Castillo, PT, DPT, GCS 1375 N Seminary St Apt 10, Galesburg, IL 61401-2016 Ph: (309) 569-6174	Mira Ecila Villamarzo Castillo, PT, DPT, GCS 280 E Losey St, Galesburg, IL 61401-2819 Ph: (309) 343-2166

Reviews and Comments

Physical Therapist in Galesburg, IL

Ms. Melissa Engebretson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 872 W Dayton St, Galesburg, IL 61401 Phone: 309-344-3400 Fax: 309-344-5040
Lakshmi Kalyani Gudavalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 Phone: 309-344-1151
Jacobus Anton Wellerdieck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 256 S Soangetaha Rd Ste 108, Galesburg, IL 61401 Phone: 309-343-3434 Fax: 309-343-3456
Mrs. Jill Hickman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 865 N Kellogg St, 3rd Floor, Galesburg, IL 61401 Phone: 309-343-3434 Fax: 309-343-3456
Ms. Wendy Michelle Paul, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600 Fax: 309-344-9675
Dr. Joshua S Adams, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600

Mira Ecila Villamarzo Castillo, PT, DPT, GCS - Medicare Physical Therapist in Galesburg, IL