Salvatore Fantano, PT, DPT in San Diego, CA - Medicare Physical Therapy Provider

Salvatore Fantano, PT, DPT is a medicare enrolled "Physical Therapist" provider in San Diego, California. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Water And Sports Physical Therapy Inc and his current practice location is 12395 El Camino Real Ste 111, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 724-0392.

Salvatore Fantano is licensed to practice in California (license number PT301422) 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 1164182598.

Contact Information

	Salvatore Fantano, PT, DPT
	12395 El Camino Real Ste 111, San Diego, CA 92130-3083
	(858) 724-0392
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Salvatore Fantano
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	12395 El Camino Real Ste 111, San Diego, California
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:

Salvatore Fantano graduated from medical school in 2021

NPI Data:

NPI Number: 1164182598
Provider Enumeration Date: 12/27/2021
Last Update Date: 12/27/2021

Medicare PECOS Information:

PECOS PAC ID: 5991199135
Enrollment ID: I20220303001478

Medical Identifiers

Medical identifiers for Salvatore Fantano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164182598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT301422 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Water And Sports Physical Therapy Inc	2365433232	21

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. Salvatore Fantano allows following entities to bill medicare on his behalf.

Provider Name	Water And Sports Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1699840934 PECOS PAC ID: 2365433232 Enrollment ID: O20100519000835

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. Salvatore Fantano 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
Salvatore Fantano, PT, DPT 12286 Creekside Ct, San Diego, CA 92131-1552 Ph: (480) 467-9643	Salvatore Fantano, PT, DPT 12395 El Camino Real Ste 111, San Diego, CA 92130-3083 Ph: (858) 724-0392

Reviews and Comments

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Salvatore Fantano, PT, DPT - Medicare Physical Therapist in San Diego, CA