St. Hermina Physical Therapist P.c. is a medicare enrolled "Clinic/center - Physical Therapy" provider in Brooklyn, New York. Their current practice location is
1711 Sheepshead Bay Rd, Brooklyn, New York. You can reach out to their office (for appointments etc.) via phone at
(718) 236-1050.
St. Hermina Physical Therapist P.c. is licensed to practice in New York (license number 030332) and it also participates in the medicare program. St. Hermina Physical Therapist P.c.
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 1821222555.
Healthcare Provider's Profile
| Full Name | St. Hermina Physical Therapist P.c. |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 1711 Sheepshead Bay Rd, Brooklyn, New York |
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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: 1821222555
- Provider Enumeration Date: 05/09/2009
- Last Update Date: 01/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698821676
- Enrollment ID: O20150207000119
Medical Identifiers
Medical identifiers for St. Hermina Physical Therapist P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821222555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 030332 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
St. Hermina Physical Therapist P.c. acts as a billing entity for following providers:
| Provider Name | Samer F Tawadros Dawood |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1295969921
PECOS PAC ID: 3173679156
Enrollment ID: I20090916000111 |
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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. St. Hermina Physical Therapist P.c. 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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St. Hermina Physical Therapist P.c.
12 Mandy Ct,
Staten Island, NY 10309-1966
Ph: (917) 589-0684 | St. Hermina Physical Therapist P.c.
1711 Sheepshead Bay Rd,
Brooklyn, NY 11235-3651
Ph: (718) 236-1050 |
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