Tyron Medallo, PT in New York, NY - Medicare Physical Therapy Provider

Tyron Medallo, PT is a medicare enrolled "Physical Therapist" provider in New York, New York. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Optum Medical Care Pc and his current practice location is 41 Elizabeth St, Rm 703, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 219-0534.

Tyron Medallo is licensed to practice in New York (license number 028311) 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 1134457120.

Contact Information

	Tyron Medallo, PT
	41 Elizabeth St, Rm 703, New York, NY 10013-4637
	(212) 219-0534
	(212) 219-0535

Map and Direction

Healthcare Provider's Profile

Full Name	Tyron Medallo
Gender	Male
Speciality	Physical Therapy
Experience	25 Years
Location	41 Elizabeth St, New York, New York
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:

Tyron Medallo graduated from medical school in 1999

NPI Data:

NPI Number: 1134457120
Provider Enumeration Date: 12/02/2009
Last Update Date: 12/02/2009

Medicare PECOS Information:

PECOS PAC ID: 7517229016
Enrollment ID: I20180321001775

Medical Identifiers

Medical identifiers for Tyron Medallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134457120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	028311 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Medical Care Pc	9931013240	961

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. Tyron Medallo allows following entities to bill medicare on his behalf.

Provider Name	Optum Medical Care Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321

Provider Name	Prohealth Care Associates Llp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468

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. Tyron Medallo 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
Tyron Medallo, PT 6911 53rd Ave, Apt. 1, Maspeth, NY 11378-1425 Ph: (718) 501-0298	Tyron Medallo, PT 41 Elizabeth St, Rm 703, New York, NY 10013-4637 Ph: (212) 219-0534

Reviews and Comments

Physical Therapist in New York, NY

Wilbert Lao, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 W 26th St, Suite 302, New York, NY 10010 Phone: 718-285-0588 Fax: 718-285-9323
Elisabeth Anne Frank, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 5th Ave, 22nd Floor, New York, NY 10017 Phone: 404-849-5770
Ryanne Tanae Glasper, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 230 W 38th St Fl 18, New York, NY 10018 Phone: 212-997-7490 Fax: 212-007-7492
Miss Shari Ilise Nadel, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 W 35th St, Suite 407, New York, NY 10001 Phone: 917-591-8494
Katherine Spencer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 W 108th St Apt 41, New York, NY 10025 Phone: 585-737-2360
Kunjan Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 3rd Ave, 5th Floor, New York, NY 10017 Phone: 212-204-5144
Mr. Ramoncito Tiosejo Dizon, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1615 Madison Ave, New York, NY 10029 Phone: 212-860-5803 Fax: 212-860-6095

Tyron Medallo, PT - Medicare Physical Therapist in New York, NY