Amber Koustoumbardis, PT in Cedar Hill, TX - Medicare Physical Therapist Provider

Amber Koustoumbardis, PT is a medicare enrolled "Physical Therapist" provider in Cedar Hill, Texas. Her current practice location is 2764 S Lakeview Dr, Cedar Hill, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 769-6580.

Amber Koustoumbardis is licensed to practice in Texas (license number 1149548) 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 1346693637.

Contact Information

	Amber Koustoumbardis, PT
	2764 S Lakeview Dr, Cedar Hill, TX 75104-8204
	(214) 769-6580
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amber Koustoumbardis
Gender	Female
Speciality	Physical Therapist
Location	2764 S Lakeview Dr, Cedar Hill, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346693637
Provider Enumeration Date: 07/21/2016
Last Update Date: 07/21/2016

Medicare PECOS Information:

PECOS PAC ID: 0446278154
Enrollment ID: I20051110000375

Medical Identifiers

Medical identifiers for Amber Koustoumbardis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346693637	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1149548 (Texas)	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. Amber Koustoumbardis allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839

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. Amber Koustoumbardis 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
Amber Koustoumbardis, PT 2764 S Lakeview Dr, Cedar Hill, TX 75104-8204 Ph: (214) 769-6580	Amber Koustoumbardis, PT 2764 S Lakeview Dr, Cedar Hill, TX 75104-8204 Ph: (214) 769-6580

Reviews and Comments

Physical Therapist in Cedar Hill, TX

Mrs. Jetta Melinda Benner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 638 Uptown Blvd, Suite 1105, Cedar Hill, TX 75104 Phone: 469-272-3129 Fax: 469-272-3145
Ms. Abigale Brooks, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 216 Cedar St, Suite 110, Cedar Hill, TX 75104 Phone: 469-272-3129 Fax: 469-272-3145
Bryan Laurel, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 458 N Highway 67 Ste 100, Cedar Hill, TX 75104 Phone: 469-272-3129 Fax: 469-272-3145
Andrew Aaron Arriaga, Physical Therapist Medicare: Medicare Enrolled Practice Location: 638 Uptown Blvd, Ste 110, Cedar Hill, TX 75104 Phone: 469-272-3129 Fax: 469-272-3145
Source One Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 W Fm 1382, Cedar Hill, TX 75104 Phone: 972-291-2081 Fax: 817-287-0001
Colton Chase Davidson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 638 Uptown Blvd Ste 110, Cedar Hill, TX 75104 Phone: 469-272-3129
Dustin W Blankenship, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 458 N Highway 67 Ste 100, Cedar Hill, TX 75104 Phone: 469-272-3129 Fax: 469-272-3145

Amber Koustoumbardis, PT - Medicare Physical Therapist in Cedar Hill, TX