Mr Charles Ayomide Adedara, PT in Maspeth, NY - Medicare Physical Therapist Provider

Mr Charles Ayomide Adedara, PT is a medicare enrolled "Physical Therapist" provider in Maspeth, New York. His current practice location is 5818 57th Dr Fl 1, Maspeth, New York. You can reach out to his office (for appointments etc.) via phone at (347) 659-2361.

Mr Charles Ayomide Adedara is licensed to practice in New York (license number 039952) 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 1184085235.

Contact Information

	Mr Charles Ayomide Adedara, PT
	5818 57th Dr Fl 1, Maspeth, NY 11378-2231
	(347) 659-2361
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Charles Ayomide Adedara
Gender	Male
Speciality	Physical Therapist
Location	5818 57th Dr Fl 1, Maspeth, 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: 1184085235
Provider Enumeration Date: 03/17/2016
Last Update Date: 03/17/2016

Medicare PECOS Information:

PECOS PAC ID: 3274953971
Enrollment ID: I20201019002681

Medical Identifiers

Medical identifiers for Mr Charles Ayomide Adedara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184085235	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	039952 (New York)	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 Charles Ayomide Adedara allows following entities to bill medicare on his behalf.

Provider Name	Stern At Home Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1720563380 PECOS PAC ID: 6002152147 Enrollment ID: O20190905002382

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 Charles Ayomide Adedara 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 Charles Ayomide Adedara, PT 5818 57th Dr Fl 1, Maspeth, NY 11378-2231 Ph: (347) 659-2361	Mr Charles Ayomide Adedara, PT 5818 57th Dr Fl 1, Maspeth, NY 11378-2231 Ph: (347) 659-2361

Reviews and Comments

Physical Therapist in Maspeth, NY

Mr. Amorsolo Cenon Laureta Jr., P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6440 58th Rd, Maspeth, NY 11378 Phone: 718-316-7072
Mitchel Vincent Abella Antigua, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7215 Grand Ave, Maspeth, NY 11378 Phone: 718-803-2058
Mr. Benjamin Calma Manalac, BSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6918 59th Rd, Maspeth, NY 11378 Phone: 646-623-9511
Mr. John Anthony Casey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6731 52nd Ave, Maspeth, NY 11378 Phone: 718-344-9187
Mrs. Catherine Quinn Ward, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5224 65th Pl, #6m, Maspeth, NY 11378 Phone: 718-316-8213
Mr. Fernando Leon Suarez, PHYSICAL THERAPY Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7215 Grand Ave, Maspeth, NY 11378 Phone: 718-803-2058 Fax: 718-426-9155

Mr Charles Ayomide Adedara, PT - Medicare Physical Therapist in Maspeth, NY