Mr Fortunato David Azoulay, MPT in Irvine, CA - Medicare Physical Therapist Provider

Mr Fortunato David Azoulay, MPT is a medicare enrolled "Physical Therapist" provider in Irvine, California. His current practice location is 17595 Harvard Ave Ste C, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (949) 233-1980.

Mr Fortunato David Azoulay is licensed to practice in California (license number PT 21389) 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 1053560276.

Contact Information

	Mr Fortunato David Azoulay, MPT
	17595 Harvard Ave Ste C, Irvine, CA 92614-8522
	(949) 233-1980
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Fortunato David Azoulay
Gender	Male
Speciality	Physical Therapist
Location	17595 Harvard Ave Ste C, Irvine, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053560276
Provider Enumeration Date: 09/11/2008
Last Update Date: 09/11/2008

Medicare PECOS Information:

PECOS PAC ID: 9133260722
Enrollment ID: I20100105000102

Medical Identifiers

Medical identifiers for Mr Fortunato David Azoulay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053560276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT 21389 (California)	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 Fortunato David Azoulay allows following entities to bill medicare on his behalf.

Provider Name	Gateway Rehab & Wellness Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184746927 PECOS PAC ID: 7517094980 Enrollment ID: O20100416000619

Provider Name	One Choice Physical Therapy, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1912416744 PECOS PAC ID: 2567720402 Enrollment ID: O20171221002642

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 Fortunato David Azoulay 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 Fortunato David Azoulay, MPT 17595 Harvard Ave Ste C, Irvine, CA 92614-8522 Ph: (949) 233-1980	Mr Fortunato David Azoulay, MPT 17595 Harvard Ave Ste C, Irvine, CA 92614-8522 Ph: (949) 233-1980

Reviews and Comments

Physical Therapist in Irvine, CA

Kimberly M. Maclean, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606 Phone: 949-265-2442 Fax: 949-265-2448
Ms. Luz O Blake, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15715 Rockfield Boulevard, Suite 100, Irvine, CA 92618 Phone: 949-206-9100 Fax: 949-206-1648
Davis Y Koh, DPT, MBA, GCS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9080 Irvine Center Dr, Irvine, CA 92618 Phone: 949-540-5641
Par Plus, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 16257 Laguna Canyon Rd, Suite # 150, Irvine, CA 92618 Phone: 949-727-0700 Fax: 949-727-0707
Denise Marie Lane, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4482 Barranca Pkwy Ste 195, Irvine, CA 92604 Phone: 949-679-3337 Fax: 949-679-3336
Matthew Hoang, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17332 Von Karman Ave Ste 120, Irvine, CA 92614 Phone: 949-861-8600
Shelly A Gadea, Physical Therapist Medicare: Medicare Enrolled Practice Location: 24 Hammond, Unit C, Irvine, CA 92618 Phone: 949-770-6022 Fax: 949-770-7084

Mr Fortunato David Azoulay, MPT - Medicare Physical Therapist in Irvine, CA