Mr Edmund Joseph Gervais, DPT in Fort Wayne, IN - Medicare Physical Therapist Provider

Mr Edmund Joseph Gervais, DPT is a medicare enrolled "Physical Therapist" provider in Fort Wayne, Indiana. His current practice location is 5050 N Clinton St, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 484-8551.

Mr Edmund Joseph Gervais is licensed to practice in Indiana (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 1790046456.

Contact Information

	Mr Edmund Joseph Gervais, DPT
	5050 N Clinton St, Fort Wayne, IN 46825-5886
	(260) 484-8551
	(260) 408-8014

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Edmund Joseph Gervais
Gender	Male
Speciality	Physical Therapist
Location	5050 N Clinton St, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790046456
Provider Enumeration Date: 05/30/2012
Last Update Date: 05/30/2012

Medicare PECOS Information:

PECOS PAC ID: 8820253149
Enrollment ID: I20120711000272

Medical Identifiers

Medical identifiers for Mr Edmund Joseph Gervais such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790046456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Indiana)	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 Edmund Joseph Gervais allows following entities to bill medicare on his behalf.

Provider Name	Advanced Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1316940505 PECOS PAC ID: 6002959525 Enrollment ID: O20111006000030

Provider Name	Parkview Ortho Performance Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215309976 PECOS PAC ID: 5698071611 Enrollment ID: O20160316002212

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 Edmund Joseph Gervais 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 Edmund Joseph Gervais, DPT 5050 N Clinton St, Fort Wayne, IN 46825-5886 Ph: (260) 484-8551	Mr Edmund Joseph Gervais, DPT 5050 N Clinton St, Fort Wayne, IN 46825-5886 Ph: (260) 484-8551

Reviews and Comments

Physical Therapist in Fort Wayne, IN

Mrs. Dawn Rochner Lang, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2237 Engle Rd, Fort Wayne, IN 46809 Phone: 260-747-2353
Tia Schrader, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4251 Lahmeyer Rd, Fort Wayne, IN 46815 Phone: 260-432-4700
Mr. Todd Michael Sullivan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7930 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-5800 Fax: 260-432-9555
Deborah Guebard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3320 N Clinton St, Fort Wayne, IN 46805 Phone: 260-483-2100
Mr. David L Kuhn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809 Phone: 260-478-5230 Fax: 260-478-5235
Ms. Andrea Jantson Smith, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845 Phone: 260-266-7400 Fax: 260-266-7439
Elaine Coleman Prouty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9426 Lima Rd, Fort Wayne, IN 46818 Phone: 260-497-0328

Mr Edmund Joseph Gervais, DPT - Medicare Physical Therapist in Fort Wayne, IN