Mr Kim Antonio, in Lodi, NJ - Medicare Physical Therapist Provider

Mr Kim Antonio, is a medicare enrolled "Physical Therapist" provider in Lodi, New Jersey. His current practice location is 103 Marion Pepe Dr Apt A, Lodi, New Jersey. You can reach out to his office (for appointments etc.) via phone at (954) 682-6481.

Mr Kim Antonio is licensed to practice in New Jersey (license number 40QA01700400) 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 1356746275.

Contact Information

	Mr Kim Antonio,
	103 Marion Pepe Dr Apt A, Lodi, NJ 07644-7824
	(954) 682-6481
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kim Antonio
Gender	Male
Speciality	Physical Therapist
Location	103 Marion Pepe Dr Apt A, Lodi, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356746275
Provider Enumeration Date: 11/04/2014
Last Update Date: 10/23/2019

Medicare PECOS Information:

PECOS PAC ID: 3375970528
Enrollment ID: I20200227001409

Medical Identifiers

Medical identifiers for Mr Kim Antonio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356746275	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA01700400 (* (Not Available))	Secondary
225100000X	Physical Therapist	(* (Not Available))	Secondary
225100000X	Physical Therapist	40QA01700400 (New Jersey)	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 Kim Antonio allows following entities to bill medicare on his behalf.

Provider Name	Excellent Homecare Of Nj Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427602549 PECOS PAC ID: 7214267400 Enrollment ID: O20191002000306

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 Kim Antonio 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 Kim Antonio, 103 Marion Pepe Dr Apt A, Lodi, NJ 07644-7824 Ph: (954) 682-6481	Mr Kim Antonio, 103 Marion Pepe Dr Apt A, Lodi, NJ 07644-7824 Ph: (954) 682-6481

Reviews and Comments

Physical Therapist in Lodi, NJ

Mr. James C Bonardi, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 S Main St, Suite One, Lodi, NJ 07644 Phone: 973-405-6464 Fax: 973-405-6846
Professional Occupational & Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 S Main St Ste B, Lodi, NJ 07644 Phone: 973-313-8840 Fax: 973-771-5366
Kevin Ngai, Physical Therapist Medicare: Medicare Enrolled Practice Location: 121 S Main St Ste B, Lodi, NJ 07644 Phone: 973-313-8840
Med Myra F Mangcoy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Arnot St Ste 3, Lodi, NJ 07644 Phone: 646-321-3661
Careccia Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 361 Garibaldi Ave, Lodi, NJ 07644 Phone: 973-777-9040 Fax: 973-777-5262
Timothy Greendyk, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 121 S Main St Ste B, Lodi, NJ 07644 Phone: 973-313-8840

Mr Kim Antonio, - Medicare Physical Therapist in Lodi, NJ