Renew Physical Therapy Group Pc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Beverly Hills, California. Their current practice location is
400 S Beverly Dr Ste 360, Beverly Hills, California. You can reach out to their office (for appointments etc.) via phone at
(909) 992-9820.
Renew Physical Therapy Group Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Renew Physical Therapy Group Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1376229518.
Healthcare Provider's Profile
Full Name | Renew Physical Therapy Group Pc |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 400 S Beverly Dr Ste 360, Beverly Hills, California |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376229518
- Provider Enumeration Date: 06/23/2023
- Last Update Date: 06/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628430311
- Enrollment ID: O20230811001827
Medical Identifiers
Medical identifiers for Renew Physical Therapy Group Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376229518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Renew Physical Therapy Group Pc acts as a billing entity for following providers:
Provider Name | Jesus Santiago Moya |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1972219434 PECOS PAC ID: 4688047491 Enrollment ID: I20230227000501 |
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Provider Name | Cynthia Glaser |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1255880225 PECOS PAC ID: 5698100618 Enrollment ID: I20230830000720 |
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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. Renew Physical Therapy Group Pc 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 |
Renew Physical Therapy Group Pc 8213 S Van Ness Ave, Inglewood, CA 90305-1545 Ph: () - | Renew Physical Therapy Group Pc 400 S Beverly Dr Ste 360, Beverly Hills, CA 90212-4405 Ph: (909) 992-9820 |
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