Mr Demian Luis Gutierrez, PT in Charlotte, NC - Medicare Physical Therapist Provider

Mr Demian Luis Gutierrez, PT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Charlotte, North Carolina. His current practice location is 1915 Randolph Rd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 323-2000.

Mr Demian Luis Gutierrez is licensed to practice in North Carolina (license number 7486) 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 1235112756.

Contact Information

	Mr Demian Luis Gutierrez, PT
	1915 Randolph Rd, Charlotte, NC 28207-1101
	(704) 323-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Demian Luis Gutierrez
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	1915 Randolph Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235112756
Provider Enumeration Date: 11/29/2005
Last Update Date: 05/13/2010

Medicare PECOS Information:

PECOS PAC ID: 1456371467
Enrollment ID: I20051205000718

Medical Identifiers

Medical identifiers for Mr Demian Luis Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235112756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	7486 (North Carolina)	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 Demian Luis Gutierrez allows following entities to bill medicare on his behalf.

Provider Name	Performance Rehab Associates Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821342346 PECOS PAC ID: 1052564689 Enrollment ID: O20130110000380

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 Demian Luis Gutierrez 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 Demian Luis Gutierrez, PT 4601 Park Rd, Ste 300, Charlotte, NC 28209-3239 Ph: (704) 323-2000	Mr Demian Luis Gutierrez, PT 1915 Randolph Rd, Charlotte, NC 28207-1101 Ph: (704) 323-2000

Reviews and Comments

Physical Therapist in Charlotte, NC

Karan Bobby Johar, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 3800 Shamrock Dr, Charlotte, NC 28215 Phone: 704-532-7000
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Reyna Yuritzia Fox, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3442 Cypress Club Dr, Charlotte, NC 28210 Phone: 704-714-5500
Ashley F Volpenhein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7422 Lancer Dr, Charlotte, NC 28226 Phone: 704-307-0897

Mr Demian Luis Gutierrez, PT - Medicare Physical Therapist in Charlotte, NC