Miss Taila Dane De Souza, DPT in Middle River, MD - Medicare Physical Therapist Provider

Miss Taila Dane De Souza, DPT is a medicare enrolled "Physical Therapist" provider in Middle River, Maryland. Her current practice location is 4062 Rustico Rd, Middle River, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 335-7898.

Miss Taila Dane De Souza is licensed to practice in Maryland (license number 24568) 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 1780016303.

Contact Information

	Miss Taila Dane De Souza, DPT
	4062 Rustico Rd, Middle River, MD 21220-2342
	(410) 335-7898
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Taila Dane De Souza
Gender	Female
Speciality	Physical Therapist
Location	4062 Rustico Rd, Middle River, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780016303
Provider Enumeration Date: 08/06/2013
Last Update Date: 08/06/2013

Medicare PECOS Information:

PECOS PAC ID: 5193949733
Enrollment ID: I20140620001705

Medical Identifiers

Medical identifiers for Miss Taila Dane De Souza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780016303	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	24568 (Maryland)	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. Miss Taila Dane De Souza allows following entities to bill medicare on her behalf.

Provider Name	Salus Capital Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568859478 PECOS PAC ID: 6103131198 Enrollment ID: O20151008000415

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. Miss Taila Dane De Souza 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
Miss Taila Dane De Souza, DPT 4062 Rustico Rd, Middle River, MD 21220-2342 Ph: (410) 335-7898	Miss Taila Dane De Souza, DPT 4062 Rustico Rd, Middle River, MD 21220-2342 Ph: (410) 335-7898

Reviews and Comments

Physical Therapist in Middle River, MD

Maggie Matassa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Williams Ct Ste 116, Middle River, MD 21220 Phone: 443-963-3234
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1310 Innovation St Ste P&q, Middle River, MD 21220 Phone: 410-616-1401 Fax: 410-686-6915
Shawna Rae Sprout, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1364 Martin Blvd Ste 5, Middle River, MD 21220 Phone: 410-686-3600

Miss Taila Dane De Souza, DPT - Medicare Physical Therapist in Middle River, MD