Paul Paulo, PT - Medicare Physical Therapist in Wheaton, MD

Paul Paulo, PT is a medicare enrolled "Physical Therapist" provider in Wheaton, Maryland. His current practice location is 11901 Georgia Ave, Wheaton, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 962-4506.

Paul Paulo is licensed to practice in Maryland (license number 21159) 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 1053943571.

Contact Information

Paul Paulo, PT
11901 Georgia Ave,
Wheaton, MD 20902-2001
(301) 962-4506
Not Available

Map and Direction




Healthcare Provider's Profile

Full NamePaul Paulo
GenderMale
SpecialityPhysical Therapist
Location11901 Georgia Ave, Wheaton, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053943571
  • Provider Enumeration Date: 02/12/2020
  • Last Update Date: 02/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3274991039
  • Enrollment ID: I20230627000486

Medical Identifiers

Medical identifiers for Paul Paulo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053943571NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 21159 (Maryland)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. Paul Paulo allows following entities to bill medicare on his behalf.
Provider NameHealthpro Heritage Rehab & Fitness Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1588013155
PECOS PAC ID: 6507832573
Enrollment ID: O20160809003104

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. Paul Paulo 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 AddressPractice Location Address
Paul Paulo, PT
11901 Georgia Ave,
Wheaton, MD 20902-2001

Ph: (301) 962-4506
Paul Paulo, PT
11901 Georgia Ave,
Wheaton, MD 20902-2001

Ph: (301) 962-4506

Reviews and Comments


Physical Therapist in Wheaton, MD

Kelson Coddington, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2730 University Blvd W Ste 714, Wheaton, MD 20902
Phone: 301-942-2520    Fax: 301-942-6998
Darcy Freeman, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2730 University Blvd W Ste 812, Wheaton, MD 20902
Phone: 301-962-7612    
Linda Green, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2730 University Blvd W, Suite 812, Wheaton, MD 20902
Phone: 301-581-8054    Fax: 301-564-0284
Morgan Byrd, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2730 University Blvd W Ste 714, Wheaton, MD 20902
Phone: 301-942-2520    Fax: 301-942-6998
Raymond Benito Morales, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 11901 Georgia Ave, Wheaton, MD 20902
Phone: 301-942-2500    
Tara I Cameron, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2730 University Blvd West, Suite 310, Wheaton, MD 20902
Phone: 301-942-2520    Fax: 301-942-6998

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.