Alice Kay Koshevatskiy, PT in Stanley, ND - Medicare Physical Therapist Provider

Alice Kay Koshevatskiy, PT is a medicare enrolled "Physical Therapist" provider in Stanley, North Dakota. Her current practice location is 615 6th St Se, Stanley, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 628-8646.

Alice Kay Koshevatskiy is licensed to practice in Wisconsin (license number 16427) 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 1699550145.

Contact Information

	Alice Kay Koshevatskiy, PT
	615 6th St Se, Stanley, ND 58784-4444
	(701) 628-8646
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alice Kay Koshevatskiy
Gender	Female
Speciality	Physical Therapist
Location	615 6th St Se, Stanley, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699550145
Provider Enumeration Date: 08/31/2023
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 5799124418
Enrollment ID: I20240415001817

Medical Identifiers

Medical identifiers for Alice Kay Koshevatskiy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699550145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5779 (Hawaii)	Secondary
225100000X	Physical Therapist	CP022489T (North Dakota)	Secondary
225100000X	Physical Therapist	070027454 (Illinois)	Secondary
225100000X	Physical Therapist	16427 (Wisconsin)	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. Alice Kay Koshevatskiy allows following entities to bill medicare on her behalf.

Provider Name	Kitsap Physical Therapy And Sports Clinic Ps Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912902347 PECOS PAC ID: 6507762333 Enrollment ID: O20031211000242

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. Alice Kay Koshevatskiy 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
Alice Kay Koshevatskiy, PT Po Box 399, Stanley, ND 58784-0399 Ph: () -	Alice Kay Koshevatskiy, PT 615 6th St Se, Stanley, ND 58784-4444 Ph: (701) 628-8646

Reviews and Comments

Physical Therapist in Stanley, ND

Dr. Matthew Klein, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 6th St Se, Stanley, ND 58784 Phone: 701-220-6260
Mrs. Barbara A Roise, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 6th St Se, Stanley, ND 58784 Phone: 701-628-2424
Dr. Zachary Mravec, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 6th St Se, Stanley, ND 58784 Phone: 701-628-2424
Heidi Lynn Nielsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 6th St Se, Stanley, ND 58784 Phone: 701-628-2424
Dr. Bethany N Light, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 6th St Se, Stanley, ND 58784 Phone: 701-628-2424
Dr. Taylor Corbae Augustine, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 6th St Se, Stanley, ND 58784 Phone: 701-628-2424

Alice Kay Koshevatskiy, PT - Medicare Physical Therapist in Stanley, ND