Taylor Verissimo, PT in Imperial Beach, CA - Medicare Physical Therapist Provider

Taylor Verissimo, PT is a medicare enrolled "Physical Therapist" provider in Imperial Beach, California. Her current practice location is 600 Palm Ave Ste 126, Imperial Beach, California. You can reach out to her office (for appointments etc.) via phone at (209) 552-1181.

Taylor Verissimo is licensed to practice in California (license number 305756) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124871629.

Contact Information

	Taylor Verissimo, PT
	600 Palm Ave Ste 126, Imperial Beach, CA 91932-1246
	(209) 552-1181
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor Verissimo
Gender	Female
Speciality	Physical Therapist
Location	600 Palm Ave Ste 126, Imperial Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124871629
Provider Enumeration Date: 04/08/2024
Last Update Date: 04/08/2024

Medicare PECOS Information:

PECOS PAC ID: 4688015779
Enrollment ID: I20240507001733

Medical Identifiers

Medical identifiers for Taylor Verissimo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124871629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	305756 (California)	Primary

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. Taylor Verissimo allows following entities to bill medicare on her behalf.

Provider Name	Performance Plus Physical Therapy, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1144766064 PECOS PAC ID: 1850668773 Enrollment ID: O20170525000621

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. Taylor Verissimo 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
Taylor Verissimo, PT 600 Palm Ave Ste 126, Imperial Beach, CA 91932-1246 Ph: (209) 552-1181	Taylor Verissimo, PT 600 Palm Ave Ste 126, Imperial Beach, CA 91932-1246 Ph: (209) 552-1181

Reviews and Comments

Physical Therapist in Imperial Beach, CA

Peter Inseok Chung, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Palm Ave Ste 126, Imperial Beach, CA 91932 Phone: 619-482-3000 Fax: 619-332-4220
Giovanni Xavier Villanueva, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Palm Ave Ste 126, Imperial Beach, CA 91932 Phone: 619-332-4200
Sarah Catherine Suggs, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Palm Ave Ste 126, Imperial Beach, CA 91932 Phone: 619-482-3000
Tamara Lila Trily, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 760 13th St, Imperial Beach, CA 91932 Phone: 858-755-5200 Fax: 619-941-2681
Matthew Alan Rogowski, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Palm Ave, Imperial Beach, CA 91932 Phone: 619-339-9109
Amanda Al-sheikh, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 760 13th St, Imperial Beach, CA 91932 Phone: 619-941-2680

Taylor Verissimo, PT - Medicare Physical Therapist in Imperial Beach, CA