Mr Dominick Petronico, DPT in Matawan, NJ - Medicare Physical Therapist Provider

Mr Dominick Petronico, DPT is a medicare enrolled "Physical Therapist" provider in Matawan, New Jersey. His current practice location is 144 Route 34, Matawan, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 320-6285.

Mr Dominick Petronico is licensed to practice in New Jersey (license number 402A02210700) 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 1679351076.

Contact Information

	Mr Dominick Petronico, DPT
	144 Route 34, Matawan, NJ 07747-2132
	(732) 320-6285
	(732) 374-9864

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Dominick Petronico
Gender	Male
Speciality	Physical Therapist
Location	144 Route 34, Matawan, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679351076
Provider Enumeration Date: 09/18/2023
Last Update Date: 01/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6608223979
Enrollment ID: I20231108000416

Medical Identifiers

Medical identifiers for Mr Dominick Petronico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679351076	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	402A02210700 (New Jersey)	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 Dominick Petronico allows following entities to bill medicare on his behalf.

Provider Name	Jag-one Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518017144 PECOS PAC ID: 2769584325 Enrollment ID: O20070228000306

Provider Name	Old Bridge Spine & Wellness Center,pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487885141 PECOS PAC ID: 7416137492 Enrollment ID: O20110208000743

Provider Name	Coast Rehab Toms River Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386235109 PECOS PAC ID: 8729494679 Enrollment ID: O20210302000045

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 Dominick Petronico 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 Dominick Petronico, DPT 144 Route 34, Matawan, NJ 07747-2132 Ph: (732) 320-6285	Mr Dominick Petronico, DPT 144 Route 34, Matawan, NJ 07747-2132 Ph: (732) 320-6285

Reviews and Comments

Physical Therapist in Matawan, NJ

Rosendo Caraos Jr., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Hauser Ln, Matawan, NJ 07747 Phone: 732-822-2516
Jessica Tallini, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 Belaire Ct, Matawan, NJ 07747 Phone: 718-431-3013
Alexander J Leto, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 144 Route 34, Matawan, NJ 07747 Phone: 732-320-6285 Fax: 732-320-6285
Crown Rehab Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 205 Main St, Matawan, NJ 07747 Phone: 732-583-8630 Fax: 732-583-7650
Mary J Myslinski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 New Brunswick Ave, Matawan, NJ 07747 Phone: 732-343-1838
Adrian Javier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 Nj-34, Matawan, NJ 07747 Phone: 732-316-5895
Trinity Rehab Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1016 State Route 34, Pinecrest Plaza, Matawan, NJ 07747 Phone: 732-583-0085 Fax: 732-583-0089

Mr Dominick Petronico, DPT - Medicare Physical Therapist in Matawan, NJ