Tlc Clove Lake Physical Therapy Pc - Medicare Physical Therapist in Staten Island, NY

Tlc Clove Lake Physical Therapy Pc is a medicare enrolled "Physical Therapist" provider in Staten Island, New York. Their current practice location is 1428 Victory Blvd, Staten Island, New York. You can reach out to their office (for appointments etc.) via phone at (718) 698-3055.

Tlc Clove Lake Physical Therapy Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Tlc Clove Lake Physical Therapy Pc 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 1659549715.

Contact Information

Tlc Clove Lake Physical Therapy Pc
1428 Victory Blvd,
Staten Island, NY 10301-3908
(718) 698-3055
(718) 448-1875

Map and Direction




Healthcare Provider's Profile

Full NameTlc Clove Lake Physical Therapy Pc
TypeFacility
SpecialityPhysical Therapist
Location1428 Victory Blvd, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659549715
  • Provider Enumeration Date: 02/12/2008
  • Last Update Date: 02/12/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6406934389
  • Enrollment ID: O20080417000128

Medical Identifiers

Medical identifiers for Tlc Clove Lake Physical Therapy Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659549715NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical 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. Tlc Clove Lake Physical Therapy Pc acts as a billing entity for following providers:
Provider NameToa C Wong
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053357723
PECOS PAC ID: 3971519844
Enrollment ID: I20060301000672
Provider NameNatallia Hutman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043521396
PECOS PAC ID: 8527250570
Enrollment ID: I20120829000001
Provider NameKristine Maquiling
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861751042
PECOS PAC ID: 4981853355
Enrollment ID: I20120927000794
Provider NameGuardson C Mellijor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578100475
PECOS PAC ID: 3375937634
Enrollment ID: I20220302001333

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. Tlc Clove Lake Physical Therapy Pc 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 AddressPractice Location Address
Tlc Clove Lake Physical Therapy Pc
1428 Victory Blvd,
Staten Island, NY 10301-3908

Ph: (718) 698-3055
Tlc Clove Lake Physical Therapy Pc
1428 Victory Blvd,
Staten Island, NY 10301-3908

Ph: (718) 698-3055

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.