Bethany Kozak, in Blaine, MN - Medicare Physical Therapist Provider

Bethany Kozak, is a medicare enrolled "Physical Therapist" provider in Blaine, Minnesota. Her current practice location is 10961 Club West Pkwy, Blaine, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 528-2992.

Bethany Kozak is licensed to practice in Minnesota (license number 12670) 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 1770213209.

Contact Information

	Bethany Kozak,
	10961 Club West Pkwy, Blaine, MN 55449-5866
	(763) 528-2992
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bethany Kozak
Gender	Female
Speciality	Physical Therapist
Location	10961 Club West Pkwy, Blaine, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770213209
Provider Enumeration Date: 06/16/2022
Last Update Date: 06/16/2022

Medicare PECOS Information:

PECOS PAC ID: 4981085222
Enrollment ID: I20220719000632

Medical Identifiers

Medical identifiers for Bethany Kozak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770213209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12670 (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. Bethany Kozak allows following entities to bill medicare on her behalf.

Provider Name	Fairview Express Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Provider Name	Healtheast Outpatient Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040

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. Bethany Kozak 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
Bethany Kozak, 6190 146th St N, Hugo, MN 55038-9494 Ph: (651) 274-4871	Bethany Kozak, 10961 Club West Pkwy, Blaine, MN 55449-5866 Ph: (763) 528-2992

Reviews and Comments

Physical Therapist in Blaine, MN

Megan Francisco, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2331 108th Ln Ne, Blaine, MN 55449 Phone: 253-777-7763
Samuel John Arnold, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600
Hannah Marie Martin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601
Sarah J Jenks, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601
Daniel J Vanhouse, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10052 Pleasure Creek Cir Ne, Blaine, MN 55434 Phone: 651-235-7769
Dr. Allison Lien Tran, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10961 Club West Pkwy Ste 200, Blaine, MN 55449 Phone: 763-528-2992
Alexis Hydukovich, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601

Bethany Kozak, - Medicare Physical Therapist in Blaine, MN