Miss Kelly C Gruenloh, RPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Los Osos, California. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice North County Physical Therapy Inc and her current practice location is
417 Henrietta Ave, Los Osos, California. You can reach out to her office (for appointments etc.) via phone at
(805) 239-3696.
Miss Kelly C Gruenloh is licensed to practice in California (license number PT30378) 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 1346308764.
Physician's Profile
| Full Name | Miss Kelly C Gruenloh |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapy |
|---|
| Experience | 25 Years |
|---|
| Location | 417 Henrietta Ave, Los Osos, California |
|---|
| 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:
- Miss Kelly C Gruenloh graduated from medical school in 1999
NPI Data:
- NPI Number: 1346308764
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 12/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 4688647233
- Enrollment ID: I20090310000062
Medical Identifiers
Medical identifiers for Miss Kelly C Gruenloh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346308764 | NPI | - | NPPES |
| GPT001411 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PT30378 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North County Physical Therapy Inc | 4688605470 | 3 |
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. Miss Kelly C Gruenloh allows following entities to bill medicare on her behalf.
| Entity Name | North County Physical Therapy Inc |
|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Entity Identifiers | NPI Number: 1649445180
PECOS PAC ID: 4688605470
Enrollment ID: O20051214000870 |
|---|
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. Miss Kelly C Gruenloh 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 |
|---|
Miss Kelly C Gruenloh, RPT
417 Henrietta Ave,
Los Osos, CA 93402-2519
Ph: (805) 239-3696 | Miss Kelly C Gruenloh, RPT
417 Henrietta Ave,
Los Osos, CA 93402-2519
Ph: (805) 239-3696 |
Reviews and Comments