VERONICA RENEE MCCARRON PT, DPT
NPI 1184343105
Physical Therapist in Santa Rosa, CA

NPI Status: Active since August 23, 2022

Contact Information

320 TESCONI CIR STE G
SANTA ROSA, CA
ZIP 95401
Phone: (707) 544-2637

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  • Individual
  • Female
  • Years of Experience 4
  • Physical Therapist
  • Accepts Insurance
  • May Accept Medicare Approved Payment

About VERONICA MCCARRON

This page provides the complete NPI Profile along with additional information for Veronica Mccarron, a provider established in Santa Rosa, California with a medical specialization in Physical Therapist and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1184343105 assigned on August 2022. The practitioner's primary taxonomy code is 225100000X with license number 12890773-2401 (UT). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1184343105
Provider Name
VERONICA RENEE MCCARRON PT, DPT
Gender
Female
Entity Type
Individual
Location Address
320 TESCONI CIR STE G SANTA ROSA, CA 95401
Location Phone
(707) 544-2637
Mailing Address
20 ANSON RD HILLSBOROUGH, CA 94010
Mailing Phone
(650) 521-3307
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
08-23-2022
Last Update Date
09-10-2024
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Location Map

Secondary Locations

  • 3000 N Triumph Blvd Ste 310
    Lehi, UT 84043
    (801) 766-2088

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
12890773-2401
License State
UT
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

306763 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 1500 - EPO
  • Regence Standard Silver 5000 - EPO
  • SaveWell Standard Bronze 7500 - EPO
  • SaveWell Standard Gold 1500 - EPO
  • SaveWell Standard Silver 5000 - EPO
  • Silver 5000 - EPO
  • Silver 6200 - EPO
  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Value Benchmark Expanded Bronze Select Copay Plan - HMO
  • Value Benchmark Gold Standardized Plan - HMO
  • Value Benchmark Platinum - HMO
  • Value Benchmark Platinum Standardized Plan - HMO
  • Value Benchmark Silver 5900 Medical Deductible - HMO
  • Value Benchmark Silver Standardized Plan - HMO
  • Value Expanded Bronze 6900 Medical Deductible - HMO
  • Value Gold 1500 Medical Deductible - HMO
  • Value Silver 3000 Medical Deductible - HMO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Veronica Mccarron is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 2567831597

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241114003227

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Reviews for VERONICA RENEE MCCARRON PT, DPT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184343105
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2116464610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 6 + 4 + 6 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1184343105 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

PHYSIOTHERAPY ASSOCIATES, INC.

Occupational Therapist

320 TESCONI CIR STE G
SANTA ROSA, CA
ZIP 95401

(707) 544-2647

STELLA MOON

Occupational Therapy Assistant

320 TESCONI CIR STE G
SANTA ROSA, CA
ZIP 95401

(707) 544-2637

MRS. RACHEL ELIZABETH KING OTR/L, MS

Occupational Therapist

(Physical Rehabilitation)

320 TESCONI CIR STE G
SANTA ROSA, CA
ZIP 95401

(707) 544-2637

SELECT CAL PHYSICAL THERAPY PC

Clinic/Center

(Physical Therapy)

320 TESCONI CIR STE G
SANTA ROSA, CA
ZIP 95401

(707) 544-2637

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184343105, enumerated as an "individual" on August 23, 2022.

The provider is located at 320 TESCONI CIR STE G SANTA ROSA, CA 95401 and the phone number is (707) 544-2637.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.