Santa Cruz Mobile Pt is a medicare enrolled "Physical Therapist" provider in Felton, California. Their current practice location is
975 Ley Road, Felton, California. You can reach out to their office (for appointments etc.) via phone at
(831) 331-0812.
Santa Cruz Mobile Pt is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Santa Cruz Mobile Pt
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 1336991546.
Healthcare Provider's Profile
| Full Name | Santa Cruz Mobile Pt |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 975 Ley Road, Felton, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336991546
- Provider Enumeration Date: 04/02/2024
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294177150
- Enrollment ID: O20240523000385
Medical Identifiers
Medical identifiers for Santa Cruz Mobile Pt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336991546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (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.
Santa Cruz Mobile Pt acts as a billing entity for following providers:
| Provider Name | Matthew P Davis |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1316417603
PECOS PAC ID: 1850638529
Enrollment ID: I20190204001610 |
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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. Santa Cruz Mobile Pt 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 |
|---|
Santa Cruz Mobile Pt
975 Ley Road,
Felton, CA 95018
Ph: (831) 331-0812 | Santa Cruz Mobile Pt
975 Ley Road,
Felton, CA 95018
Ph: (831) 331-0812 |
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