Kolawole Bamgbelu, - Medicare Physical Therapist in Great Neck, NY

Kolawole Bamgbelu, is a medicare enrolled "Physical Therapist" provider in Great Neck, New York. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Reddy Care Physical Therapy Pc and his current practice location is 475 Northern Blvd Ste 11, Great Neck, New York. You can reach out to his office (for appointments etc.) via phone at (516) 829-0030.

Kolawole Bamgbelu is licensed to practice in New York (license number 048199) 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 1598426470.

Contact Information

Kolawole Bamgbelu,
475 Northern Blvd Ste 11,
Great Neck, NY 11021-4802
(516) 829-0030
(516) 466-7723



Healthcare Provider's Profile

Full NameKolawole Bamgbelu
GenderMale
SpecialityPhysical Therapy
Experience3 Years
Location475 Northern Blvd Ste 11, Great Neck, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kolawole Bamgbelu graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1598426470
  • Provider Enumeration Date: 01/04/2022
  • Last Update Date: 01/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426440165
  • Enrollment ID: I20220110001153

Medical Identifiers

Medical identifiers for Kolawole Bamgbelu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598426470NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 048199 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Reddy Care Physical Therapy Pc5890685986107

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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. Kolawole Bamgbelu allows following entities to bill medicare on his behalf.
Provider NameReddy Care Physical Therapy Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1932171097
PECOS PAC ID: 5890685986
Enrollment ID: O20150511000611

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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. Kolawole Bamgbelu 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
Kolawole Bamgbelu,
475 Northern Blvd Ste 27,
Great Neck, NY 11021-4802

Ph: (516) 829-0030
Kolawole Bamgbelu,
475 Northern Blvd Ste 11,
Great Neck, NY 11021-4802

Ph: (516) 829-0030

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Physical Therapist in Great Neck, NY

Ms. Susan Carol Lenihan, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723
Meng Liu,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723
Sri Valli Bolla, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    
Dr. Joseph Weisberg, PHD PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Larch Dr, Great Neck, NY 11021
Phone: 516-482-8016    Fax: 516-482-8016
Sports Pt Of Manhasset
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 225 Community Drive, Suite 10 Sports Physical Therapy Of Manhasset, Great Neck, NY 11021
Phone: 516-829-7639    Fax: 516-829-7352
Angela J Bailey-hardy, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 475 Northern Blvd, Suite 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723
Dr. Mithun Mamoottil Abraham, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723

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