Soma Physical Therapy Inc is a medicare enrolled "Clinic/center" provider in San Marcos, California. Their current practice location is
1740 La Costa Meadows Dr Ste 250, San Marcos, California. You can reach out to their office (for appointments etc.) via phone at
(760) 516-8900.
Soma Physical Therapy Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Soma Physical Therapy Inc
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 1801548409.
Healthcare Provider's Profile
| Full Name | Soma Physical Therapy Inc |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 1740 La Costa Meadows Dr Ste 250, San Marcos, 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: 1801548409
- Provider Enumeration Date: 01/25/2022
- Last Update Date: 03/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385002781
- Enrollment ID: O20230616000447
Medical Identifiers
Medical identifiers for Soma Physical Therapy Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801548409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (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.
Soma Physical Therapy Inc acts as a billing entity for following providers:
| Provider Name | Brandon Mendoza |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1497211163
PECOS PAC ID: 6800207762
Enrollment ID: I20201124003114 |
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| Provider Name | Adam Robert Pavlovich |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1992260632
PECOS PAC ID: 1658760533
Enrollment ID: I20211115002079 |
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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. Soma Physical Therapy Inc 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 |
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Soma Physical Therapy Inc
1245 San Pablo Dr,
San Marcos, CA 92078-4816
Ph: () - | Soma Physical Therapy Inc
1740 La Costa Meadows Dr Ste 250,
San Marcos, CA 92078-2122
Ph: (760) 516-8900 |
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