Kellie Jean Carpenter, in Montvale, NJ - Medicare Physical Therapy Provider

Kellie Jean Carpenter, is a medicare enrolled "Physical Therapist" provider in Montvale, New Jersey. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Sportscare Of America, Pc and her current practice location is 221 W Grand Ave, Montvale, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 307-9209.

Kellie Jean Carpenter is licensed to practice in New Jersey (license number 40QA01779100) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114420049.

Contact Information

	Kellie Jean Carpenter,
	221 W Grand Ave, Montvale, NJ 07645-1729
	(201) 307-9209
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kellie Jean Carpenter
Gender	Female
Speciality	Physical Therapy
Experience	7 Years
Location	221 W Grand Ave, Montvale, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kellie Jean Carpenter graduated from medical school in 2017

NPI Data:

NPI Number: 1114420049
Provider Enumeration Date: 03/16/2018
Last Update Date: 03/16/2018

Medicare PECOS Information:

PECOS PAC ID: 5294133179
Enrollment ID: I20211006003325

Medical Identifiers

Medical identifiers for Kellie Jean Carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114420049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA01779100 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sportscare Of America, Pc	9032213756	116

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. Kellie Jean Carpenter allows following entities to bill medicare on her behalf.

Provider Name	United Sports Care & Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1972881233 PECOS PAC ID: 9436324886 Enrollment ID: O20111213000548

Provider Name	Sportscare Of America, Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1851484380 PECOS PAC ID: 9032213756 Enrollment ID: O20150917000430

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. Kellie Jean Carpenter 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 Address	Practice Location Address
Kellie Jean Carpenter, 34 Woodmere Ln, Tenafly, NJ 07670-1923 Ph: () -	Kellie Jean Carpenter, 221 W Grand Ave, Montvale, NJ 07645-1729 Ph: (201) 307-9209

Reviews and Comments

Physical Therapist in Montvale, NJ

Mr. Michael Kryagin, MS,PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 W Grand Ave, Montvale, NJ 07645 Phone: 201-291-8282 Fax: 201-391-8299
Jennifer Yoo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Nottingham Ct, Montvale, NJ 07645 Phone: 917-554-0280
Summit Physical Therapy And Sports Care, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 160 Summit Ave Ste 104, Montvale, NJ 07645 Phone: 201-627-0100 Fax: 201-746-6652
Julia Lynn Perez, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 S Kinderkamack Rd Ste 208, Montvale, NJ 07645 Phone: 201-746-6577
Dr. Katrina Pizzichetta, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Summit Ave, Montvale, NJ 07645 Phone: 201-775-7416
Annmarie Champagne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Philips Pkwy, Montvale, NJ 07645 Phone: 201-930-8700 Fax: 201-930-8730

Kellie Jean Carpenter, - Medicare Physical Therapist in Montvale, NJ