Prathibha Gottumukkala, in Dayton, NJ - Medicare Physical Therapy Provider

Prathibha Gottumukkala, is a medicare enrolled "Physical Therapist" provider in Dayton, New Jersey. She graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is 2245 Us Highway 130 Ste 105, Dayton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 609-7155.

Prathibha Gottumukkala is licensed to practice in New Jersey (license number 40QA01534600) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124385901.

Contact Information

	Prathibha Gottumukkala,
	2245 Us Highway 130 Ste 105, Dayton, NJ 08810-2420
	(732) 609-7155
	(609) 228-6173

Map and Direction

Healthcare Provider's Profile

Full Name	Prathibha Gottumukkala
Gender	Female
Speciality	Physical Therapy
Experience	21 Years
Location	2245 Us Highway 130 Ste 105, Dayton, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Prathibha Gottumukkala graduated from medical school in 2004

NPI Data:

NPI Number: 1124385901
Provider Enumeration Date: 04/18/2012
Last Update Date: 02/22/2024

Medicare PECOS Information:

PECOS PAC ID: 7810140993
Enrollment ID: I20150311002265

Medical Identifiers

Medical identifiers for Prathibha Gottumukkala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124385901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA01534600 (New Jersey)	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. Prathibha Gottumukkala allows following entities to bill medicare on her behalf.

Provider Name	Shalom Therapeutic Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780059527 PECOS PAC ID: 8022312529 Enrollment ID: O20160203001702

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. Prathibha Gottumukkala 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
Prathibha Gottumukkala, 2245 Us Highway 130 Ste 105, Dayton, NJ 08810-2420 Ph: (732) 609-7155	Prathibha Gottumukkala, 2245 Us Highway 130 Ste 105, Dayton, NJ 08810-2420 Ph: (732) 609-7155

Reviews and Comments

Physical Therapist in Dayton, NJ

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Epoch Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 2245 Route 130, Dayton, NJ 08810 Phone: 412-654-3212 Fax: 833-888-7868
Krystina F Cierkowski, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 365 Georges Rd Ste 4, Dayton, NJ 08810 Phone: 732-438-3736
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Prathibha Gottumukkala, - Medicare Physical Therapist in Dayton, NJ