Ms Marie Custodero, PT - Medicare Physical Therapist in Aiken, SC

Ms Marie Custodero, PT is a medicare enrolled "Physical Therapist - Geriatrics" provider in Aiken, South Carolina. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Potentia Therapeutics, Llc and her current practice location is 550 Eastgate Dr, Aiken, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 643-3694.

Ms Marie Custodero is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1871714998.

Contact Information

Ms Marie Custodero, PT
550 Eastgate Dr,
Aiken, SC 29803
(803) 643-3694
Not Available



Healthcare Provider's Profile

Full NameMs Marie Custodero
GenderFemale
SpecialityPhysical Therapy
Experience24 Years
Location550 Eastgate Dr, Aiken, South Carolina
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Marie Custodero graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1871714998
  • Provider Enumeration Date: 05/02/2007
  • Last Update Date: 09/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1951635481
  • Enrollment ID: I20201015003296

Medical Identifiers

Medical identifiers for Ms Marie Custodero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871714998NPI-NPPES
887462000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251G0304XPhysical Therapist - Geriatrics (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Potentia Therapeutics, Llc610318188816

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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. Ms Marie Custodero allows following entities to bill medicare on her behalf.
Provider NamePotentia Therapeutics, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1063910982
PECOS PAC ID: 6103181888
Enrollment ID: O20180530000933

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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. Ms Marie Custodero 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
Ms Marie Custodero, PT
4 W Red Oak Ln Ste 201,
White Plains, NY 10604-3603

Ph: () -
Ms Marie Custodero, PT
550 Eastgate Dr,
Aiken, SC 29803

Ph: (803) 643-3694

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› Verified 6 days ago


Physical Therapist in Aiken, SC

Hannah M Shirah, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 181 Town Creek Rd, Aiken, SC 29803
Phone: 803-642-0700    Fax: 803-642-0588
Ms. Darcy Renee Armstrong, PT
Physical Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 681 Silver Bluff Rd Ste A, Aiken, SC 29803
Phone: 803-649-9797    Fax: 803-642-2759
Tiffany L. King, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1730 Silver Bluff Rd, Aiken, SC 29803
Phone: 910-988-5681    
Teresa Beth Stevens, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 310 Barnwell Ave Ne, Aiken, SC 29801
Phone: 803-641-4144    Fax: 803-641-4147
Ms. Mary Kathryn Carroll Medlen, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 690 Medical Park Dr, Aiken, SC 29801
Phone: 803-648-8344    
Melody Marie Conant,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1397 Silver Bluff Rd, Aiken, SC 29803
Phone: 803-220-1073    
Laura Susan Witham, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 681 Silver Bluff Rd, Suite A, Aiken, SC 29803
Phone: 803-649-9797    

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