Alyssa Lynn Nelsen, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Knob Noster, Missouri. She graduated from medical school in 2022 and has 2 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Knob Noster Physical Therapy, Llc and her current practice location is
106 E Lucas St, Knob Noster, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 563-9800.
Alyssa Lynn Nelsen is licensed to practice in Missouri (license number 2022030328) 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 1588137020.
Healthcare Provider's Profile
| Full Name | Alyssa Lynn Nelsen |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 2 Years |
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| Location | 106 E Lucas St, Knob Noster, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alyssa Lynn Nelsen graduated from medical school in 2022
NPI Data:
- NPI Number: 1588137020
- Provider Enumeration Date: 01/08/2019
- Last Update Date: 01/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193104065
- Enrollment ID: I20220805002090
Medical Identifiers
Medical identifiers for Alyssa Lynn Nelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588137020 | NPI | - | NPPES |
| 500047913 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 11-07055 (Kansas) | Secondary |
| 225100000X | Physical Therapist | 2022030328 (Missouri) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 2022030328 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Knob Noster Physical Therapy, Llc | 3072882000 | 2 |
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. Alyssa Lynn Nelsen allows following entities to bill medicare on her behalf.
| Provider Name | Serc Rehabilitation Partners Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1760745244
PECOS PAC ID: 9830344563
Enrollment ID: O20130304000500 |
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| Provider Name | Knob Noster Physical Therapy, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1427582337
PECOS PAC ID: 3072882000
Enrollment ID: O20170707001181 |
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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. Alyssa Lynn Nelsen 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 |
|---|
Alyssa Lynn Nelsen, DPT
106 E Lucas St,
Knob Noster, MO 65336-1134
Ph: (660) 563-9800 | Alyssa Lynn Nelsen, DPT
106 E Lucas St,
Knob Noster, MO 65336-1134
Ph: (660) 563-9800 |
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