Ellis Oda, DPT in Riverside, CA - Medicare Physical Therapist Provider

Ellis Oda, DPT is a medicare enrolled "Physical Therapist" provider in Riverside, California. His current practice location is 6177 River Crest Dr Ste A, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 653-4480.

Ellis Oda is licensed to practice in California (license number 302036) 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 1063145399.

Contact Information

	Ellis Oda, DPT
	6177 River Crest Dr Ste A, Riverside, CA 92507-0728
	(951) 653-4480
	Not Available

Healthcare Provider's Profile

Full Name	Ellis Oda
Gender	Male
Speciality	Physical Therapist
Location	6177 River Crest Dr Ste A, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063145399
Provider Enumeration Date: 07/05/2022
Last Update Date: 07/05/2022

Medicare PECOS Information:

PECOS PAC ID: 3476934480
Enrollment ID: I20220722000815

Medical Identifiers

Medical identifiers for Ellis Oda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063145399	NPI	-	NPPES
302036	Other	CA	PT LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	302036 (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. Ellis Oda allows following entities to bill medicare on his behalf.

Provider Name	West Coast Spine Restoration Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992887616 PECOS PAC ID: 7214824648 Enrollment ID: O20040301001265

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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. Ellis Oda 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
Ellis Oda, DPT 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 Ph: (951) 653-4480	Ellis Oda, DPT 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 Ph: (951) 653-4480

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Physical Therapist in Riverside, CA

Mrs. Deanna Michelle Vizon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6177 River Crest Dr Ste A, Riverside, CA 92507 Phone: 951-653-4480 Fax: 951-653-5051
Anocha Suphol, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4444 Magnolia Ave, Riverside, CA 92501 Phone: 951-274-3524 Fax: 951-274-3442
Lindsay Aho, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3908 10th St, Riverside, CA 92501 Phone: 951-274-7744 Fax: 951-274-7754
Theodore Ronald Oliver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17050 Arnold Dr, Riverside, CA 92518 Phone: 833-399-1402 Fax: 951-848-9676
Joy Shiba, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17050 Arnold Dr, Riverside, CA 92518 Phone: 833-399-1402
Jason Eric Herrera, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3908 10th St, Riverside, CA 92501 Phone: 951-274-7744
Kevin Wu, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3421 Arlington Ave Ste 105, Riverside, CA 92506 Phone: 951-684-2865

Ellis Oda, DPT - Medicare Physical Therapist in Riverside, CA

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Physical Therapist in Riverside, CA