Mr Phaysane Oudom, DPT in La Mesa, CA - Medicare Physical Therapy Provider

Mr Phaysane Oudom, DPT is a medicare enrolled "Physical Therapist" provider in La Mesa, California. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Sharp Rees-stealy Medical Group Inc and his current practice location is 7862 El Cajon Blvd, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (619) 644-6452.

Mr Phaysane Oudom is licensed to practice in California (license number PT 32527) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265658405.

Contact Information

	Mr Phaysane Oudom, DPT
	7862 El Cajon Blvd, La Mesa, CA 91941-3625
	(619) 644-6452
	(619) 466-7528

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Phaysane Oudom
Gender	Male
Speciality	Physical Therapy
Experience	19 Years
Location	7862 El Cajon Blvd, La Mesa, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Phaysane Oudom graduated from medical school in 2005

NPI Data:

NPI Number: 1265658405
Provider Enumeration Date: 04/17/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6901149681
Enrollment ID: I20190521001059

Medical Identifiers

Medical identifiers for Mr Phaysane Oudom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265658405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT 32527 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sharp Rees-stealy Medical Group Inc	8628972759	783

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 Phaysane Oudom allows following entities to bill medicare on his behalf.

Provider Name	Sharp Rees-stealy Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996

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 Phaysane Oudom 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 Phaysane Oudom, DPT 6529 Reflection Dr Apt 114, San Diego, CA 92124-3174 Ph: () -	Mr Phaysane Oudom, DPT 7862 El Cajon Blvd, La Mesa, CA 91941-3625 Ph: (619) 644-6452

Reviews and Comments

Physical Therapist in La Mesa, CA

Marybeth Mcandrew, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5480 Marengo Ave, La Mesa, CA 91942 Phone: 617-680-0513 Fax: 619-441-0419
Chelsea Tara Sanscartier, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8881 Fletcher Pkwy Ste 385, La Mesa, CA 91942 Phone: 619-460-0137
Rehabilitation Strategies Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 5360 Jackson Dr, Suite 110, La Mesa, CA 91942 Phone: 619-667-7000 Fax: 619-667-4315
Nancy Lynn Nelson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-589-0850
Jason Hardin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5905 Severin Dr, La Mesa, CA 91942 Phone: 619-589-2606
Andrew Clendenen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5905 Severin Dr, La Mesa, CA 91942 Phone: 619-589-2606 Fax: 619-464-0900
Rebecca Chiu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8787 Center Dr, La Mesa, CA 91942 Phone: 619-460-4444

Mr Phaysane Oudom, DPT - Medicare Physical Therapist in La Mesa, CA