Ralph Rosauro Mendoza Obach, LPT is a medicare enrolled "Physical Therapist" provider in Bullard, Texas. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Obach Physical Therapy Clinic Llc and his current practice location is
200 County Rd 3801, Bullard, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 894-4633.
Ralph Rosauro Mendoza Obach is licensed to practice in Texas (license number 1059236) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1063700110.
Healthcare Provider's Profile
| Full Name | Ralph Rosauro Mendoza Obach |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 36 Years |
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| Location | 200 County Rd 3801, Bullard, Texas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ralph Rosauro Mendoza Obach graduated from medical school in 1988
NPI Data:
- NPI Number: 1063700110
- Provider Enumeration Date: 07/11/2011
- Last Update Date: 12/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 1850562745
- Enrollment ID: I20110926000759
Medical Identifiers
Medical identifiers for Ralph Rosauro Mendoza Obach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063700110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 1059236 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Obach Physical Therapy Clinic Llc | 3375861420 | 3 |
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. Ralph Rosauro Mendoza Obach allows following entities to bill medicare on his behalf.
| Provider Name | Obach Physical Therapy Clinic Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1912398348
PECOS PAC ID: 3375861420
Enrollment ID: O20150421002017 |
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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. Ralph Rosauro Mendoza Obach 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 |
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Ralph Rosauro Mendoza Obach, LPT
200 County Road 3801,
Bullard, TX 75757
Ph: (903) 894-4633 | Ralph Rosauro Mendoza Obach, LPT
200 County Rd 3801,
Bullard, TX 75757
Ph: (903) 894-4633 |
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