Robert Dattilo, DPT in Pawtucket, RI - Medicare Physical Therapy Provider

Robert Dattilo, DPT is a medicare enrolled "Physical Therapist" provider in Pawtucket, Rhode Island. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Silver Fern Practice Llc and his current practice location is 21 Division St, Pawtucket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 726-7100.

Robert Dattilo is licensed to practice in Rhode Island (license number PT03012) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790200350.

Contact Information

	Robert Dattilo, DPT
	21 Division St, Pawtucket, RI 02860-5301
	(401) 726-7100
	(401) 721-5214

Map and Direction

Healthcare Provider's Profile

Full Name	Robert Dattilo
Gender	Male
Speciality	Physical Therapy
Experience	7 Years
Location	21 Division St, Pawtucket, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Robert Dattilo graduated from medical school in 2017

NPI Data:

NPI Number: 1790200350
Provider Enumeration Date: 08/04/2017
Last Update Date: 12/26/2017

Medicare PECOS Information:

PECOS PAC ID: 8527330927
Enrollment ID: I20170821000110

Medical Identifiers

Medical identifiers for Robert Dattilo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790200350	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT03012 (Rhode Island)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Silver Fern Practice Llc	1658266515	124

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. Robert Dattilo allows following entities to bill medicare on his behalf.

Provider Name	Silver Fern Practice Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1851472914 PECOS PAC ID: 1658266515 Enrollment ID: O20120813000580

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. Robert Dattilo 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
Robert Dattilo, DPT 4 Richmond Sq Ste 200, Providence, RI 02906-5117 Ph: (401) 433-4172	Robert Dattilo, DPT 21 Division St, Pawtucket, RI 02860-5301 Ph: (401) 726-7100

Reviews and Comments

Physical Therapist in Pawtucket, RI

Zeel Pareshkumar Desai, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 21 Division St, Pawtucket, RI 02860 Phone: 401-726-7100 Fax: 401-721-5214
Highbar Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Pawtucket Ave, Mailbox 402, Pawtucket, RI 02860 Phone: 401-475-5775
Kevin Alexander, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21 Division St, Pawtucket, RI 02860 Phone: 401-433-4172 Fax: 401-433-0612
Brittany Polk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 21 Division St, Pawtucket, RI 02860 Phone: 401-726-7100
Mr. Steven James Lucci, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Smithfield Ave, Pawtucket, RI 02860 Phone: 401-725-9666 Fax: 401-722-5896
Casey Lynn Madore, PTMS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 545 Pawtucket Ave, Pawtucket, RI 02860 Phone: 401-475-5775
Carol D.c. Howard, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 Wilcox Ave, Pawtucket, RI 02860 Phone: 401-475-0768

Robert Dattilo, DPT - Medicare Physical Therapist in Pawtucket, RI