Kyla Rae Weiss, PT, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Loogootee, Indiana. Her current practice location is
300 E Broadway St, Loogootee, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 709-3286.
Kyla Rae Weiss is licensed to practice in Indiana (license number 05012557A) 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 1215785282.
Physician's Profile
| Full Name | Kyla Rae Weiss |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 300 E Broadway St, Loogootee, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215785282
- Provider Enumeration Date: 05/07/2024
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022551530
- Enrollment ID: I20240709004488
Medical Identifiers
Medical identifiers for Kyla Rae Weiss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215785282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 05012557A (Indiana) | 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. Kyla Rae Weiss allows following entities to bill medicare on her behalf.
| Entity Name | Harvest Health & Rehab Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1659828218
PECOS PAC ID: 9335427798
Enrollment ID: O20161107000378 |
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| Entity Name | Salience Neurorehab, Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1225756026
PECOS PAC ID: 7618344037
Enrollment ID: O20221027001857 |
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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. Kyla Rae Weiss 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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Kyla Rae Weiss, PT, DPT
841 S Carol Dr W,
Santa Claus, IN 47579-6118
Ph: () - | Kyla Rae Weiss, PT, DPT
300 E Broadway St,
Loogootee, IN 47553-1708
Ph: (812) 709-3286 |
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