Alicia Ray, PT in Jordan, MN - Medicare Physical Therapist Provider

Alicia Ray, PT is a medicare enrolled "Physical Therapist" provider in Jordan, Minnesota. Her current practice location is 622 Aberdeen Ave, Jordan, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 492-2220.

Alicia Ray is licensed to practice in Minnesota (license number 6627) 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 1073641304.

Contact Information

	Alicia Ray, PT
	622 Aberdeen Ave, Jordan, MN 55352-9516
	(952) 492-2220
	(952) 492-2073

Map and Direction

Healthcare Provider's Profile

Full Name	Alicia Ray
Gender	Female
Speciality	Physical Therapist
Location	622 Aberdeen Ave, Jordan, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073641304
Provider Enumeration Date: 02/28/2007
Last Update Date: 04/11/2023

Medicare PECOS Information:

PECOS PAC ID: 3577635879
Enrollment ID: I20080701000596

Medical Identifiers

Medical identifiers for Alicia Ray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073641304	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	6627 (Minnesota)	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. Alicia Ray allows following entities to bill medicare on her behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013498914 PECOS PAC ID: 2365359932 Enrollment ID: O20181204002105

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. Alicia Ray 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
Alicia Ray, PT 805 Hickory Pl, Jordan, MN 55352-1858 Ph: (612) 889-0209	Alicia Ray, PT 622 Aberdeen Ave, Jordan, MN 55352-9516 Ph: (952) 492-2220

Reviews and Comments

Physical Therapist in Jordan, MN

Mrs. Michelle Linae Jung, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 622 Aberdeen Ave, Jordan, MN 55352 Phone: 952-492-5559
Kiirsten Rakers, BS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Hope Ave, Jordan, MN 55352 Phone: 952-492-8470 Fax: 952-492-3880
Krista Lee Fromm, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 622 Aberdeen Ave, Jordan, MN 55352 Phone: 952-492-2220

Alicia Ray, PT - Medicare Physical Therapist in Jordan, MN