Rafael Carlos, DPT in Lodi, CA - Medicare Physical Therapist Provider

Rafael Carlos, DPT is a medicare enrolled "Physical Therapist" provider in Lodi, California. His current practice location is 2000 W Kettleman Ln Ste 106, Lodi, California. You can reach out to his office (for appointments etc.) via phone at (209) 207-0849.

Rafael Carlos is licensed to practice in California (license number 305524) 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 1093400707.

Contact Information

	Rafael Carlos, DPT
	2000 W Kettleman Ln Ste 106, Lodi, CA 95242-4334
	(209) 207-0849
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rafael Carlos
Gender	Male
Speciality	Physical Therapist
Location	2000 W Kettleman Ln Ste 106, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093400707
Provider Enumeration Date: 04/07/2023
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5395181028
Enrollment ID: I20240315002225

Medical Identifiers

Medical identifiers for Rafael Carlos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093400707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	044165 (New York)	Secondary
225100000X	Physical Therapist	305524 (California)	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. Rafael Carlos allows following entities to bill medicare on his behalf.

Provider Name	Excel Rehab Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437553583 PECOS PAC ID: 4688992381 Enrollment ID: O20150409000110

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. Rafael Carlos 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
Rafael Carlos, DPT 1742 S Breezy Meadow Dr, Sacramento, CA 95834-2683 Ph: (628) 235-9743	Rafael Carlos, DPT 2000 W Kettleman Ln Ste 106, Lodi, CA 95242-4334 Ph: (209) 207-0849

Reviews and Comments

Physical Therapist in Lodi, CA

Sharen N Cheathon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 250, Lodi, CA 95242 Phone: 209-334-2224 Fax: 209-334-2225
Eliza R Downs, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2401 W Turner Rd, Suite 250, Lodi, CA 95242 Phone: 209-334-2224 Fax: 209-334-2225
Piper Lee Barnes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 631 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7433 Fax: 209-368-4219
Nino Otacan Conde, Physical Therapist Medicare: Medicare Enrolled Practice Location: 631 S Ham Ln, Lodi, CA 95242 Phone: 209-368-7433
Innovative Senior Rehabilitation Services Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 W Turner Rd, Lodi, CA 95240 Phone: 209-367-5812 Fax: 209-367-5812
Michael Ray Ballance, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 W Lockeford St, Lodi, CA 95240 Phone: 209-331-7471 Fax: 209-331-7464

Rafael Carlos, DPT - Medicare Physical Therapist in Lodi, CA