Mr Benjamin Ogalesco Ilagan Iii, PT is a medicare enrolled "Physical Therapist" provider in Churchville, Maryland. His current practice location is
200 Clear View Ct, Churchville, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 734-4818.
Mr Benjamin Ogalesco Ilagan Iii is licensed to practice in Maryland (license number 18395) 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 1538433669.
Healthcare Provider's Profile
Full Name | Mr Benjamin Ogalesco Ilagan Iii |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 200 Clear View Ct, Churchville, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538433669
- Provider Enumeration Date: 03/07/2012
- Last Update Date: 03/07/2012
Medicare PECOS Information:
- PECOS PAC ID: 1153725809
- Enrollment ID: I20210803002876
Medical Identifiers
Medical identifiers for Mr Benjamin Ogalesco Ilagan Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538433669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 18395 (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. Mr Benjamin Ogalesco Ilagan Iii allows following entities to bill medicare on his behalf.
Provider Name | Fox Rehab Pt Md Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1588901847 PECOS PAC ID: 6709028822 Enrollment ID: O20130820000083 |
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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. Mr Benjamin Ogalesco Ilagan Iii 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 |
Mr Benjamin Ogalesco Ilagan Iii, PT 200 Clear View Ct, Churchville, MD 21028-1606 Ph: (410) 734-4818 | Mr Benjamin Ogalesco Ilagan Iii, PT 200 Clear View Ct, Churchville, MD 21028-1606 Ph: (410) 734-4818 |
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