Mr Charles Ayomide Adedara, PT - Medicare Physical Therapist in Maspeth, NY

Mr Charles Ayomide Adedara, PT is a medicare enrolled "Physical Therapist" provider in Maspeth, New York. His current practice location is 5818 57th Dr Fl 1, Maspeth, New York. You can reach out to his office (for appointments etc.) via phone at (347) 659-2361.

Mr Charles Ayomide Adedara is licensed to practice in New York (license number 039952) 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 1184085235.

Contact Information

Mr Charles Ayomide Adedara, PT
5818 57th Dr Fl 1,
Maspeth, NY 11378-2231
(347) 659-2361
Not Available



Healthcare Provider's Profile

Full NameMr Charles Ayomide Adedara
GenderMale
SpecialityPhysical Therapist
Location5818 57th Dr Fl 1, Maspeth, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184085235
  • Provider Enumeration Date: 03/17/2016
  • Last Update Date: 03/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3274953971
  • Enrollment ID: I20201019002681

Medical Identifiers

Medical identifiers for Mr Charles Ayomide Adedara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184085235NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 039952 (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. Mr Charles Ayomide Adedara allows following entities to bill medicare on his behalf.
Provider NameStern At Home Physical Therapy Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1720563380
PECOS PAC ID: 6002152147
Enrollment ID: O20190905002382

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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. Mr Charles Ayomide Adedara 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
Mr Charles Ayomide Adedara, PT
5818 57th Dr Fl 1,
Maspeth, NY 11378-2231

Ph: (347) 659-2361
Mr Charles Ayomide Adedara, PT
5818 57th Dr Fl 1,
Maspeth, NY 11378-2231

Ph: (347) 659-2361

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Physical Therapist in Maspeth, NY

Mr. Amorsolo Cenon Laureta Jr., P.T.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 6440 58th Rd, Maspeth, NY 11378
Phone: 718-316-7072    
Mr. Benjamin Calma Manalac, BSPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6918 59th Rd, Maspeth, NY 11378
Phone: 646-623-9511    
Mr. John Anthony Casey,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6731 52nd Ave, Maspeth, NY 11378
Phone: 718-344-9187    
Mrs. Catherine Quinn Ward,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5224 65th Pl, #6m, Maspeth, NY 11378
Phone: 718-316-8213    
Mr. Fernando Leon Suarez, PHYSICAL THERAPY
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 7215 Grand Ave, Maspeth, NY 11378
Phone: 718-803-2058    Fax: 718-426-9155
Eva Agnes Mikrut, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6024 60th Dr, Apt #3c, Maspeth, NY 11378
Phone: 917-482-4597    

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