Seraphina Provenzano, DPT - Medicare Physical Therapist in Dearborn, MI

Seraphina Provenzano, DPT is a medicare enrolled "Physical Therapist" provider in Dearborn, Michigan. Her current practice location is 5500 Auto Club Dr, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 982-8266.

Seraphina Provenzano is licensed to practice in Michigan (license number 5501301928) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053049510.

Contact Information

Seraphina Provenzano, DPT
5500 Auto Club Dr,
Dearborn, MI 48126-2779
(313) 982-8266
(313) 982-8098



Healthcare Provider's Profile

Full NameSeraphina Provenzano
GenderFemale
SpecialityPhysical Therapist
Location5500 Auto Club Dr, Dearborn, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053049510
  • Provider Enumeration Date: 08/12/2022
  • Last Update Date: 08/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941683346
  • Enrollment ID: I20220817003690

Medical Identifiers

Medical identifiers for Seraphina Provenzano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053049510NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5501301928 (Michigan)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. Seraphina Provenzano allows following entities to bill medicare on her behalf.
Provider NameTeam Rehabilitation Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1548932619
PECOS PAC ID: 2264479518
Enrollment ID: O20211027001883

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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. Seraphina Provenzano 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
Seraphina Provenzano, DPT
1 Ford Pl,
Detroit, MI 48202-3450

Ph: () -
Seraphina Provenzano, DPT
5500 Auto Club Dr,
Dearborn, MI 48126-2779

Ph: (313) 982-8266

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Physical Therapist in Dearborn, MI

Healthwise Physical Therapy Center
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5445 Oakman Blvd, Dearborn, MI 48126
Phone: 313-584-4625    Fax: 313-584-4628
Dr. Zarine Minwalla, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 20251 Carlysle St, Dearborn, MI 48124
Phone: 313-278-4601    
Sara Michelle Ryder, D.P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 23852 Michigan Ave, Dearborn, MI 48124
Phone: 313-565-4222    Fax: 313-565-8703
Anu Thomas, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 21031 Michigan Ave Ste C, Dearborn, MI 48124
Phone: 313-565-2224    
Muhammad Amin Anjum, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5445 Oakman Blvd, Dearborn, MI 48126
Phone: 313-581-7971    Fax: 313-581-8028
Patricia Stefanek,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-593-7760    
Mrs. Kevy Elizabeth Nycek, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 18501 Rotunda Dr Ste 200, Dearborn, MI 48124
Phone: 313-996-1928    

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