Ms Marie Custodero, PT in Aiken, SC - Medicare Physical Therapy Provider

Ms Marie Custodero, PT is a medicare enrolled "Physical Therapist - Geriatrics" provider in Aiken, South Carolina. She graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Potentia Therapeutics, Llc and her current practice location is 550 Eastgate Dr, Aiken, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 643-3694.

Ms Marie Custodero is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1871714998.

Contact Information

	Ms Marie Custodero, PT
	550 Eastgate Dr, Aiken, SC 29803
	(803) 643-3694
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Marie Custodero
Gender	Female
Speciality	Physical Therapy
Experience	25 Years
Location	550 Eastgate Dr, Aiken, South Carolina
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Marie Custodero graduated from medical school in 2000

NPI Data:

NPI Number: 1871714998
Provider Enumeration Date: 05/02/2007
Last Update Date: 09/11/2019

Medicare PECOS Information:

PECOS PAC ID: 1951635481
Enrollment ID: I20201015003296

Medical Identifiers

Medical identifiers for Ms Marie Custodero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871714998	NPI	-	NPPES
887462000	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251G0304X	Physical Therapist - Geriatrics	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Potentia Therapeutics, Llc	6103181888	15

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. Ms Marie Custodero allows following entities to bill medicare on her behalf.

Provider Name	Potentia Therapeutics, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063910982 PECOS PAC ID: 6103181888 Enrollment ID: O20180530000933

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. Ms Marie Custodero 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
Ms Marie Custodero, PT 4 W Red Oak Ln Ste 201, White Plains, NY 10604-3603 Ph: () -	Ms Marie Custodero, PT 550 Eastgate Dr, Aiken, SC 29803 Ph: (803) 643-3694

Reviews and Comments

Physical Therapist in Aiken, SC

Hannah M Shirah, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Town Creek Rd, Aiken, SC 29803 Phone: 803-642-0700 Fax: 803-642-0588
Ms. Darcy Renee Armstrong, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 681 Silver Bluff Rd Ste A, Aiken, SC 29803 Phone: 803-649-9797 Fax: 803-642-2759
Tiffany L. King, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1730 Silver Bluff Rd, Aiken, SC 29803 Phone: 910-988-5681
Teresa Beth Stevens, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Barnwell Ave Ne, Aiken, SC 29801 Phone: 803-641-4144 Fax: 803-641-4147
Ms. Mary Kathryn Carroll Medlen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 690 Medical Park Dr, Aiken, SC 29801 Phone: 803-648-8344
Melody Marie Conant, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1397 Silver Bluff Rd, Aiken, SC 29803 Phone: 803-220-1073
Laura Susan Witham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 681 Silver Bluff Rd, Suite A, Aiken, SC 29803 Phone: 803-649-9797

Ms Marie Custodero, PT - Medicare Physical Therapist in Aiken, SC