Sean Michael Ezell, DPT in San Diego, CA - Medicare Physical Therapy Provider

Sean Michael Ezell, DPT is a medicare enrolled "Physical Therapist" provider in San Diego, California. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 3200 4th Ave, Suite Number 100, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 297-4404.

Sean Michael Ezell is licensed to practice in California (license number 37264) 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 1871894303.

Contact Information

	Sean Michael Ezell, DPT
	3200 4th Ave, Suite Number 100, San Diego, CA 92103-5716
	(619) 297-4404
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sean Michael Ezell
Gender	Male
Speciality	Physical Therapy
Experience	14 Years
Location	3200 4th Ave, 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:

Sean Michael Ezell graduated from medical school in 2010

NPI Data:

NPI Number: 1871894303
Provider Enumeration Date: 11/15/2010
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0941489215
Enrollment ID: I20110119001071

Medical Identifiers

Medical identifiers for Sean Michael Ezell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871894303	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	37264 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Sean Michael Ezell allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Sean Michael Ezell 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
Sean Michael Ezell, DPT 522 Jamacha Rd, El Cajon, CA 92019-2448 Ph: () -	Sean Michael Ezell, DPT 3200 4th Ave, Suite Number 100, San Diego, CA 92103-5716 Ph: (619) 297-4404

Reviews and Comments

Physical Therapist in San Diego, CA

Carmen L Luk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 Phone: 760-209-4868
Emily Richard, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3115 Ocean Front Walk, San Diego, CA 92109 Phone: 858-488-3597 Fax: 858-746-4041
Dr. Alona Mary Yacobovsky, DPT, CWS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8555 Station Village Ln Apt 3217, San Diego, CA 92108 Phone: 702-525-9299
Sean S Mcintire, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4435 Eastgate Mall, #120, San Diego, CA 92121 Phone: 858-587-8669 Fax: 858-587-8675
Elena Hapke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4094 4th Ave, San Diego, CA 92103 Phone: 619-515-2545
Jon Garrelts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189
Dobromira Andreeva Arsova, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6977 Navajo Rd # 445, San Diego, CA 92119 Phone: 858-848-9917 Fax: 858-987-8653

Sean Michael Ezell, DPT - Medicare Physical Therapist in San Diego, CA