Patrick Edgecomb, in El Segundo, CA - Medicare Physical Therapist Provider

Patrick Edgecomb, is a medicare enrolled "Physical Therapist" provider in El Segundo, California. His current practice location is 483 N Aviation Blvd, Bldg 210, El Segundo, California. You can reach out to his office (for appointments etc.) via phone at (310) 653-6878.

Patrick Edgecomb is licensed to practice in Massachusetts (license number 19420) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346547320.

Contact Information

	Patrick Edgecomb,
	483 N Aviation Blvd, Bldg 210, El Segundo, CA 90245-2808
	(310) 653-6878
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Patrick Edgecomb
Gender	Male
Speciality	Physical Therapist
Location	483 N Aviation Blvd, El Segundo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346547320
Provider Enumeration Date: 02/28/2011
Last Update Date: 10/01/2015

Medicare PECOS Information:

PECOS PAC ID: 6406032358
Enrollment ID: I20180515001598

Medical Identifiers

Medical identifiers for Patrick Edgecomb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346547320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	19420 (Massachusetts)	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. Patrick Edgecomb allows following entities to bill medicare on his behalf.

Provider Name	Vert Westside Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528109360 PECOS PAC ID: 4880757954 Enrollment ID: O20090115000474

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. Patrick Edgecomb 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
Patrick Edgecomb, 483 N Aviation Blvd, Bldg 210, El Segundo, CA 90245-2808 Ph: (310) 653-6878	Patrick Edgecomb, 483 N Aviation Blvd, Bldg 210, El Segundo, CA 90245-2808 Ph: (310) 653-6878

Reviews and Comments

Physical Therapist in El Segundo, CA

Christopher P Derosa, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Main St, El Segundo, CA 90245 Phone: 310-648-3167
Ashley Smith, PT, DPT, CCRT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 N Pacific Coast Hwy Ste 1000, El Segundo, CA 90245 Phone: 310-640-9911
Mr. Alex M Youssefian, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 N Sepulveda Blvd, Suite 2060, El Segundo, CA 90245 Phone: 626-394-1575
Shelby Plummer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 N Nash St Ste 306, El Segundo, CA 90245 Phone: 310-535-0008
Elizabeth Glozman, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Penn St, El Segundo, CA 90245 Phone: 310-426-9570 Fax: 310-426-9572
Ms. Kimberlee Bickerton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Sierra St, El Segundo, CA 90245 Phone: 310-426-9406
Tag Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Penn St, El Segundo, CA 90245 Phone: 310-426-9570 Fax: 310-426-9572

Patrick Edgecomb, - Medicare Physical Therapist in El Segundo, CA