Ms Marievic Balaag Ebora Fernando, PT, DPT in Forest Hills, NY

Ms Marievic Balaag Ebora Fernando, PT, DPT is a medicare enrolled "Physical Therapist" provider in Forest Hills, New York. Her current practice location is 6815 Selfridge St, 2h, Forest Hills, New York. You can reach out to her office (for appointments etc.) via phone at (347) 777-9707.

Ms Marievic Balaag Ebora Fernando is licensed to practice in New York (license number 030067) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629236278.

Contact Information

	Ms Marievic Balaag Ebora Fernando, PT, DPT
	6815 Selfridge St, 2h, Forest Hills, NY 11375-5747
	(347) 777-9707
	(347) 777-9707

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Marievic Balaag Ebora Fernando
Gender	Female
Speciality	Physical Therapist
Location	6815 Selfridge St, Forest Hills, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629236278
Provider Enumeration Date: 05/30/2008
Last Update Date: 02/24/2020

Medicare PECOS Information:

PECOS PAC ID: 6709917925
Enrollment ID: I20100701000221

Medical Identifiers

Medical identifiers for Ms Marievic Balaag Ebora Fernando such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629236278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	030067 (New York)	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. Ms Marievic Balaag Ebora Fernando allows following entities to bill medicare on her behalf.

Provider Name	Parcare Community Health Network Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730454083 PECOS PAC ID: 4981823390 Enrollment ID: O20140917002207

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 Marievic Balaag Ebora Fernando 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 Marievic Balaag Ebora Fernando, PT, DPT 6815 Selfridge St, 2h, Forest Hills, NY 11375-5747 Ph: (347) 777-9707	Ms Marievic Balaag Ebora Fernando, PT, DPT 6815 Selfridge St, 2h, Forest Hills, NY 11375-5747 Ph: (347) 777-9707

Reviews and Comments

Physical Therapist in Forest Hills, NY

Abigail Marie Agustero Docena, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11045 Queens Blvd, Suite 105, Forest Hills, NY 11375 Phone: 718-575-5100
Jennifer C Esmade, R.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6915 Austin St, Forest Hills, NY 11375 Phone: 718-575-0300 Fax: 718-575-3559
Mr. Amir Hanna, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6940 108th St, Forest Hills, NY 11375 Phone: 718-544-5730
Leyna Marie Antonucci, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7000 Austin St Ste 200, Forest Hills, NY 11375 Phone: 718-762-7633
Mr. Allan Feliciano Magbag, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9910 Metropolitan Ave, Forest Hills, NY 11375 Phone: 718-263-2273 Fax: 718-263-2278
Bindu Sharma, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9610 Metropolitan Ave, Forest Hills, NY 11375 Phone: 718-286-3877 Fax: 718-663-5781
Maria Lilibeth Enriquez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10933 71st Rd Apt 7g, Forest Hills, NY 11375 Phone: 917-536-3980

Ms Marievic Balaag Ebora Fernando, PT, DPT - Medicare Physical Therapist in Forest Hills, NY