Mohamed Khallaf, in Ridgewood, NY - Medicare Physical Therapist Provider

Mohamed Khallaf, is a medicare enrolled "Physical Therapist" provider in Ridgewood, New York. His current practice location is 6805 Fresh Pond Rd, Ridgewood, New York. You can reach out to his office (for appointments etc.) via phone at (718) 456-2543.

Mohamed Khallaf is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174068720.

Contact Information

	Mohamed Khallaf,
	6805 Fresh Pond Rd, Ridgewood, NY 11385-5200
	(718) 456-2543
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mohamed Khallaf
Gender	Male
Speciality	Physical Therapist
Location	6805 Fresh Pond Rd, Ridgewood, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174068720
Provider Enumeration Date: 01/05/2017
Last Update Date: 07/06/2021

Medicare PECOS Information:

PECOS PAC ID: 6204110034
Enrollment ID: I20240105002676

Medical Identifiers

Medical identifiers for Mohamed Khallaf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174068720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1345001 (Texas)	Secondary
2251G0304X	Physical Therapist - Geriatrics	(* (Not Available))	Secondary
2251H1300X	Physical Therapist - Human Factors	(* (Not Available))	Secondary
2251P0200X	Physical Therapist - Pediatrics	036856 (New York)	Secondary
2251X0800X	Physical Therapist - Orthopedic	(* (Not Available))	Secondary
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. Mohamed Khallaf allows following entities to bill medicare on his behalf.

Provider Name	Brain And Body Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083480529 PECOS PAC ID: 2567813470 Enrollment ID: O20240104002877

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. Mohamed Khallaf 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
Mohamed Khallaf, 1500 Julianas Way, Cedar Park, TX 78613-7182 Ph: (646) 436-8480	Mohamed Khallaf, 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 Ph: (718) 456-2543

Reviews and Comments

Physical Therapist in Ridgewood, NY

Redcore Physical Therapy And Rehabiitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 311 St Nicholas Avenue, Suite E- Basement, Ridgewood, NY 11385 Phone: 718-509-9888 Fax: 718-509-6144
Bhavna Rajesh Devnani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 929-299-6505
Stacie Malner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1666 Hancock St, Ridgewood, NY 11385 Phone: 718-456-7588
Bryan Joseph Gicana De La Cruz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 865 Cypress Ave, Ridgewood, NY 11385 Phone: 848-667-0943 Fax: 848-667-0943
Jamelle Rosette Santos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784
Ruchi Modi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784
Mrs. Elenita Bautista Oliver, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1732 Dekalb Ave, Ridgewood, NY 11385 Phone: 718-386-3124

Mohamed Khallaf, - Medicare Physical Therapist in Ridgewood, NY