Philip Punnoose, PT in Eden Prairie, MN - Medicare Physical Therapist Provider

Philip Punnoose, PT is a medicare enrolled "Physical Therapist" provider in Eden Prairie, Minnesota. His current practice location is 12982 Valley View Rd, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 944-2519.

Philip Punnoose is licensed to practice in Minnesota (license number 12733) 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 1801523782.

Contact Information

	Philip Punnoose, PT
	12982 Valley View Rd, Eden Prairie, MN 55344-3657
	(952) 944-2519
	(952) 944-0092

Map and Direction

Healthcare Provider's Profile

Full Name	Philip Punnoose
Gender	Male
Speciality	Physical Therapist
Location	12982 Valley View Rd, Eden Prairie, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801523782
Provider Enumeration Date: 08/02/2022
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 4688043623
Enrollment ID: I20221213002589

Medical Identifiers

Medical identifiers for Philip Punnoose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801523782	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12733 (Minnesota)	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. Philip Punnoose allows following entities to bill medicare on his behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Provider Name	Infinite Health Collaborative Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574

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. Philip Punnoose 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
Philip Punnoose, PT 4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841 Ph: (952) 512-5600	Philip Punnoose, PT 12982 Valley View Rd, Eden Prairie, MN 55344-3657 Ph: (952) 944-2519

Reviews and Comments

Physical Therapist in Eden Prairie, MN

Riley Bren, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344 Phone: 612-364-1901
Hannah Mae Stefani, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6485 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-933-1150 Fax: 952-930-3304
Kaitlin Vaith, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344 Phone: 612-364-1901
John A Corbo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 775 Prairie Center Dr, 250, Eden Prairie, MN 55344 Phone: 952-944-5314
Daniel Himmerick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344 Phone: 952-944-5314 Fax: 952-944-0092
Christopher Hart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344 Phone: 952-944-5314
Nathaniel L Peterson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12982 Valley View Rd, Eden Prairie, MN 55344 Phone: 952-944-2519 Fax: 952-944-0092

Philip Punnoose, PT - Medicare Physical Therapist in Eden Prairie, MN