Alfred V Koutnik, is a medicare enrolled "Physical Therapist" provider in Alamo Heights, Texas. His current practice location is
230 W Sunset Rd, Alamo Heights, Texas. You can reach out to his office (for appointments etc.) via phone at
(719) 989-8338.
Alfred V Koutnik is licensed to practice in Texas (license number 1386797) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053590141.
Healthcare Provider's Profile
| Full Name | Alfred V Koutnik |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 230 W Sunset Rd, Alamo Heights, Texas |
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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: 1053590141
- Provider Enumeration Date: 10/25/2007
- Last Update Date: 08/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547455750
- Enrollment ID: I20240906000562
Medical Identifiers
Medical identifiers for Alfred V Koutnik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053590141 | NPI | - | NPPES |
| 65135512 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 1386797 (Texas) | Primary |
| 225100000X | Physical Therapist | CO 2898 (Colorado) | Secondary |
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. Alfred V Koutnik allows following entities to bill medicare on his behalf.
| Provider Name | Fox Rehabilitation Services Tx Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1710582580
PECOS PAC ID: 7113330879
Enrollment ID: O20210119002550 |
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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. Alfred V Koutnik 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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Alfred V Koutnik,
402 Lamont Ave,
Alamo Heights, TX 78209-3640
Ph: (719) 989-8338 | Alfred V Koutnik,
230 W Sunset Rd,
Alamo Heights, TX 78209-2872
Ph: (719) 989-8338 |
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