Mr Jerrico Pureza, PT in Harvard, IL - Medicare Physical Therapist Provider

Mr Jerrico Pureza, PT is a medicare enrolled "Physical Therapist" provider in Harvard, Illinois. His current practice location is 109 W Front St, Harvard, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 943-0191.

Mr Jerrico Pureza is licensed to practice in * (Not Available) (license number 070.027088) 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 1235845389.

Contact Information

	Mr Jerrico Pureza, PT
	109 W Front St, Harvard, IL 60033-2833
	(815) 943-0191
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jerrico Pureza
Gender	Male
Speciality	Physical Therapist
Location	109 W Front St, Harvard, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235845389
Provider Enumeration Date: 01/23/2023
Last Update Date: 04/13/2023

Medicare PECOS Information:

PECOS PAC ID: 4587037544
Enrollment ID: I20230222002687

Medical Identifiers

Medical identifiers for Mr Jerrico Pureza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235845389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	170.027088 (Illinois)	Secondary
225100000X	Physical Therapist	070.027088 (* (Not Available))	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 Jerrico Pureza allows following entities to bill medicare on his behalf.

Provider Name	Midwest Rehabilitation Group Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1174779623 PECOS PAC ID: 8921148602 Enrollment ID: O20211014001357

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 Jerrico Pureza 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 Jerrico Pureza, PT Po Box 4777, Oak Brook, IL 60522-4777 Ph: () -	Mr Jerrico Pureza, PT 109 W Front St, Harvard, IL 60033-2833 Ph: (815) 943-0191

Reviews and Comments

Physical Therapist in Harvard, IL

Aapti Sharad Patel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 901 Grant St, Harvard, IL 60033 Phone: 815-943-5431 Fax: 815-943-0659
Lorna Mae Woodall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Grant St, Harvard, IL 60033 Phone: 815-943-5821
Harvard Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 343 S Division St, Harvard, IL 60033 Phone: 815-943-0191 Fax: 815-943-0196
Sheila Booc Kafka, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Grant St, Harvard, IL 60033 Phone: 815-943-5431 Fax: 815-943-0659
Harvard Physical Therpapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 109 W Front St, Harvard, IL 60033 Phone: 312-804-9332 Fax: 815-943-0196
Eric Vincent T Miranda, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 901 Grant St, Harvard, IL 60033 Phone: 815-943-5431

Mr Jerrico Pureza, PT - Medicare Physical Therapist in Harvard, IL