Olga Borovic Benardo, is a medicare enrolled "Physical Therapist" provider in Colfax, California. Her current practice location is
14 Eden Valley Ct, Colfax, California. You can reach out to her office (for appointments etc.) via phone at
(408) 889-3829.
Olga Borovic Benardo is licensed to practice in Michigan (license number 5501003605) 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 1629635966.
Healthcare Provider's Profile
| Full Name | Olga Borovic Benardo |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 14 Eden Valley Ct, Colfax, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629635966
- Provider Enumeration Date: 05/22/2019
- Last Update Date: 12/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880037787
- Enrollment ID: I20240207003894
Medical Identifiers
Medical identifiers for Olga Borovic Benardo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629635966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 5501003605 (Michigan) | Primary |
| 2251G0304X | Physical Therapist - Geriatrics | 6331 (Nevada) | Secondary |
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. Olga Borovic Benardo allows following entities to bill medicare on her behalf.
| Provider Name | Powerback Rehabilitation Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275140311
PECOS PAC ID: 2365359932
Enrollment ID: O20140505000065 |
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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. Olga Borovic Benardo 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 |
|---|
Olga Borovic Benardo,
1080 N 35th St,
Galesburg, MI 49053-9761
Ph: (408) 889-3829 | Olga Borovic Benardo,
14 Eden Valley Ct,
Colfax, CA 95713-9125
Ph: (408) 889-3829 |
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