Raj Devalla, PT in Yaphank, NY - Medicare Physical Therapist Provider

Raj Devalla, PT is a medicare enrolled "Physical Therapist" provider in Yaphank, New York. His current practice location is 35 Bergers Ct E, Yaphank, New York. You can reach out to his office (for appointments etc.) via phone at (631) 891-9936.

Raj Devalla is licensed to practice in New York (license number 036620) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417362930.

Contact Information

	Raj Devalla, PT
	35 Bergers Ct E, Yaphank, NY 11980-1518
	(631) 891-9936
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Raj Devalla
Gender	Male
Speciality	Physical Therapist
Location	35 Bergers Ct E, Yaphank, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417362930
Provider Enumeration Date: 06/23/2014
Last Update Date: 12/09/2022

Medicare PECOS Information:

PECOS PAC ID: 4880070531
Enrollment ID: I20221003002603

Medical Identifiers

Medical identifiers for Raj Devalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417362930	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	036620 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Raj Devalla allows following entities to bill medicare on his behalf.

Provider Name	Therapy House Calls Pt Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396456315 PECOS PAC ID: 3476924291 Enrollment ID: O20230113000997

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. Raj Devalla 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
Raj Devalla, PT 35 Bergers Ct E, Yaphank, NY 11980-1518 Ph: (631) 891-9936	Raj Devalla, PT 35 Bergers Ct E, Yaphank, NY 11980-1518 Ph: (631) 891-9936

Reviews and Comments

Physical Therapist in Yaphank, NY

Mrs. Shreya Dhakal, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 35 Bergers Ct E, Yaphank, NY 11980 Phone: 631-891-9937
Therapy House Calls Pt Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 35 Bergers Ct E, Yaphank, NY 11980 Phone: 631-891-9937
Russell J Warren, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 472 Yaphank Middle Island Rd, Yaphank, NY 11980 Phone: 631-775-7693
Dr. Laurel Corea, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 430 Sills Road, Yaphank, NY 11980 Phone: 631-924-5583
Mr. Bryan Scott Knoell, MS,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Jefferson Commons, Yaphank, NY 11980 Phone: 631-775-0408 Fax: 631-775-0408

Raj Devalla, PT - Medicare Physical Therapist in Yaphank, NY