Wendell Parks, in San Diego, CA - Medicare Physical Therapist Provider

Wendell Parks, is a medicare enrolled "Physical Therapist" provider in San Diego, California. His current practice location is 15004 Innovation Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 605-7189.

Wendell Parks is licensed to practice in California (license number 15578) 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 1225688302.

Contact Information

	Wendell Parks,
	15004 Innovation Dr, San Diego, CA 92128-3491
	(858) 605-7189
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wendell Parks
Gender	Male
Speciality	Physical Therapist
Location	15004 Innovation Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225688302
Provider Enumeration Date: 09/19/2019
Last Update Date: 09/19/2019

Medicare PECOS Information:

PECOS PAC ID: 3476987454
Enrollment ID: I20191227001733

Medical Identifiers

Medical identifiers for Wendell Parks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225688302	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15578 (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. Wendell Parks allows following entities to bill medicare on his behalf.

Provider Name	Scripps Health
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822

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. Wendell Parks 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
Wendell Parks, 10790 Rancho Bernardo Rd # 4s-205, San Diego, CA 92127-5705 Ph: (858) 927-5775	Wendell Parks, 15004 Innovation Dr, San Diego, CA 92128-3491 Ph: (858) 605-7189

Reviews and Comments

Physical Therapist in San Diego, CA

Carmen L Luk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 Phone: 760-209-4868
Emily Richard, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3115 Ocean Front Walk, San Diego, CA 92109 Phone: 858-488-3597 Fax: 858-746-4041
Dr. Alona Mary Yacobovsky, DPT, CWS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8555 Station Village Ln Apt 3217, San Diego, CA 92108 Phone: 702-525-9299
Sean S Mcintire, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4435 Eastgate Mall, #120, San Diego, CA 92121 Phone: 858-587-8669 Fax: 858-587-8675
Elena Hapke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4094 4th Ave, San Diego, CA 92103 Phone: 619-515-2545
Jon Garrelts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189
Dobromira Andreeva Arsova, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6977 Navajo Rd # 445, San Diego, CA 92119 Phone: 858-848-9917 Fax: 858-987-8653

Wendell Parks, - Medicare Physical Therapist in San Diego, CA