Mr Kristopher D Harrison, PHYSICAL THERAPY is a medicare enrolled "Physical Therapist" provider in Diamond, Illinois. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Athletic And Therapeutic Institute Of Bourbonnais, Llc and his current practice location is
2595 E Division St, Diamond, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 634-8420.
Mr Kristopher D Harrison is licensed to practice in Illinois (license number 070013745) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679679187.
Healthcare Provider's Profile
| Full Name | Mr Kristopher D Harrison |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 22 Years |
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| Location | 2595 E Division St, Diamond, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Kristopher D Harrison graduated from medical school in 2003
NPI Data:
- NPI Number: 1679679187
- Provider Enumeration Date: 09/15/2006
- Last Update Date: 11/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 7810985785
- Enrollment ID: I20040501000215
Medical Identifiers
Medical identifiers for Mr Kristopher D Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679679187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 070013745 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Athletic And Therapeutic Institute Of Bourbonnais, Llc | 4183692577 | 143 |
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 Kristopher D Harrison allows following entities to bill medicare on his behalf.
| Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1023129681
PECOS PAC ID: 8325014020
Enrollment ID: O20040903000494 |
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| Provider Name | Athletic And Therapeutic Institute Of Bourbonnais, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1861503542
PECOS PAC ID: 4183692577
Enrollment ID: O20040923000220 |
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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 Kristopher D Harrison 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 |
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Mr Kristopher D Harrison, PHYSICAL THERAPY
790 Remington Blvd,
Bolingbrook, IL 60440-4909
Ph: (630) 296-2222 | Mr Kristopher D Harrison, PHYSICAL THERAPY
2595 E Division St,
Diamond, IL 60416-9794
Ph: (815) 634-8420 |
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