Mr Gaurav Vinay Dambal, PT in Chesterton, IN - Medicare Physical Therapist Provider

Mr Gaurav Vinay Dambal, PT is a medicare enrolled "Physical Therapist" provider in Chesterton, Indiana. His current practice location is 425 Sand Creek Dr Ste C, Chesterton, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 926-9779.

Mr Gaurav Vinay Dambal is licensed to practice in Indiana (license number 05013904A) 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 1235736281.

Contact Information

	Mr Gaurav Vinay Dambal, PT
	425 Sand Creek Dr Ste C, Chesterton, IN 46304-1590
	(219) 926-9779
	(219) 926-9889

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Gaurav Vinay Dambal
Gender	Male
Speciality	Physical Therapist
Location	425 Sand Creek Dr Ste C, Chesterton, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235736281
Provider Enumeration Date: 10/02/2020
Last Update Date: 10/02/2020

Medicare PECOS Information:

PECOS PAC ID: 0547630808
Enrollment ID: I20221230001514

Medical Identifiers

Medical identifiers for Mr Gaurav Vinay Dambal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235736281	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05013904A (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 Gaurav Vinay Dambal 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

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 Gaurav Vinay Dambal 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 Gaurav Vinay Dambal, PT 425 Sand Creek Dr Ste C, Chesterton, IN 46304-1590 Ph: (219) 926-9779	Mr Gaurav Vinay Dambal, PT 425 Sand Creek Dr Ste C, Chesterton, IN 46304-1590 Ph: (219) 926-9779

Reviews and Comments

Physical Therapist in Chesterton, IN

Mrs. Victoria Jean Vinet, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Sand Creek Dr Ste C, Chesterton, IN 46304 Phone: 219-926-9779 Fax: 219-926-9889
Matthew David Radencic, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1595 S Calumet Rd, Chesterton, IN 46304 Phone: 844-896-0235 Fax: 219-898-4258
Samantha Higgins, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-926-6926
Lauren Evenson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd Ste 3, Chesterton, IN 46304 Phone: 219-983-9675
Jennifer Nicole Racette, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 751 E Porter Ave Ste 2, Chesterton, IN 46304 Phone: 219-926-5850 Fax: 219-250-2072
Amber N Eckert, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd, Chesterton, IN 46304 Phone: 219-983-9675
Laura Wassilak, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd, Suite 3, Chesterton, IN 46304 Phone: 219-983-9675 Fax: 219-983-9681

Mr Gaurav Vinay Dambal, PT - Medicare Physical Therapist in Chesterton, IN