Natan Theise, DPT is a medicare enrolled "Clinic/center - Physical Therapy" provider in Forest Hills, New York. He graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ergo Physical Therapy Pc and his current practice location is
10740 Queens Blvd Ste 207, Forest Hills, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 261-3100.
Natan Theise is licensed to practice in * (Not Available) (license number ) 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 1306507116.
Healthcare Provider's Profile
| Full Name | Natan Theise |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 4 Years |
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| Location | 10740 Queens Blvd Ste 207, Forest Hills, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Natan Theise graduated from medical school in 2021
NPI Data:
- NPI Number: 1306507116
- Provider Enumeration Date: 01/04/2022
- Last Update Date: 01/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466848742
- Enrollment ID: I20220414000086
Medical Identifiers
Medical identifiers for Natan Theise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306507116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 048315 (New York) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ergo Physical Therapy Pc | 9931123650 | 4 |
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. Natan Theise allows following entities to bill medicare on his behalf.
| Provider Name | Ergo Physical Therapy Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1285856898
PECOS PAC ID: 9931123650
Enrollment ID: O20060120000727 |
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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. Natan Theise 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 |
|---|
Natan Theise, DPT
6740 Booth St Apt 2a,
Forest Hills, NY 11375-2757
Ph: (646) 420-5149 | Natan Theise, DPT
10740 Queens Blvd Ste 207,
Forest Hills, NY 11375-4252
Ph: (718) 261-3100 |
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