Mr Paul Carlisle, MPT, GCS in San Francisco, CA - Medicare Physical Therapist Provider

Mr Paul Carlisle, MPT, GCS is a medicare enrolled "Physical Therapist - Geriatrics" provider in San Francisco, California. His current practice location is 375 Laguna Honda Blvd, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 759-3519.

Mr Paul Carlisle is licensed to practice in California (license number PT15047) 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 1790874485.

Contact Information

	Mr Paul Carlisle, MPT, GCS
	375 Laguna Honda Blvd, San Francisco, CA 94116-1411
	(415) 759-3519
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Paul Carlisle
Gender	Male
Speciality	Physical Therapist - Geriatrics
Location	375 Laguna Honda Blvd, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790874485
Provider Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5395159826
Enrollment ID: I20210125002084

Medical Identifiers

Medical identifiers for Mr Paul Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790874485	NPI	-	NPPES
PT15047	Other	CA	PHYSICAL THERAPY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251G0304X	Physical Therapist - Geriatrics	PT15047 (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 Paul Carlisle allows following entities to bill medicare on his behalf.

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275073363 PECOS PAC ID: 5193036432 Enrollment ID: O20170614002978

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 Paul Carlisle 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 Paul Carlisle, MPT, GCS 5 Hilldale Dr, San Anselmo, CA 94960-2317 Ph: () -	Mr Paul Carlisle, MPT, GCS 375 Laguna Honda Blvd, San Francisco, CA 94116-1411 Ph: (415) 759-3519

Reviews and Comments

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Mr Paul Carlisle, MPT, GCS - Medicare Physical Therapist in San Francisco, CA