Mr Jason Desombre, PT in Bridgeport, CT - Medicare Physical Therapist Provider

Mr Jason Desombre, PT is a medicare enrolled "Physical Therapist" provider in Bridgeport, Connecticut. His current practice location is 3909 Main St, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 374-9800.

Mr Jason Desombre is licensed to practice in Connecticut (license number 006603) 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 1457306383.

Contact Information

	Mr Jason Desombre, PT
	3909 Main St, Bridgeport, CT 06606-2815
	(203) 374-9800
	(203) 374-9803

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jason Desombre
Gender	Male
Speciality	Physical Therapist
Location	3909 Main St, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457306383
Provider Enumeration Date: 05/22/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1153594148
Enrollment ID: I20111108000558

Medical Identifiers

Medical identifiers for Mr Jason Desombre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457306383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	006603 (Connecticut)	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 Jason Desombre allows following entities to bill medicare on his behalf.

Provider Name	Orthopaedic Specialty Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558313767 PECOS PAC ID: 8820037898 Enrollment ID: O20050428000802

Provider Name	Ptsma Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033773759 PECOS PAC ID: 7911800180 Enrollment ID: O20190712000494

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 Jason Desombre 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 Jason Desombre, PT 31 Old Route 7, Credentialing Dept, Brookfield, CT 06804-1714 Ph: (203) 740-0020	Mr Jason Desombre, PT 3909 Main St, Bridgeport, CT 06606-2815 Ph: (203) 374-9800

Reviews and Comments

Physical Therapist in Bridgeport, CT

Karina K. Lincer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 Fax: 203-336-7368
Holly S. Ashby, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 Fax: 203-336-7368
Tessa Guralnick, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3708
Haley Schaefer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4200 Park Ave, Bridgeport, CT 06604 Phone: 203-365-6443
Brian Marsh, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4675 Main St, Bridgeport, CT 06606 Phone: 203-373-0551 Fax: 203-365-6600
Lori Mihalov, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4200 Park Ave, Bridgeport, CT 06604 Phone: 203-365-6443
Sarah Coppola, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3180 Main St, Bridgeport, CT 06606 Phone: 203-731-2310

Mr Jason Desombre, PT - Medicare Physical Therapist in Bridgeport, CT