Blake Coughenour, in Waukee, IA - Medicare Physical Therapist Provider

Blake Coughenour, is a medicare enrolled "Physical Therapist" provider in Waukee, Iowa. His current practice location is 128 W Hickman Rd, Waukee, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 309-1819.

Blake Coughenour is licensed to practice in Iowa (license number 124144) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124874375.

Contact Information

	Blake Coughenour,
	128 W Hickman Rd, Waukee, IA 50263-5070
	(515) 309-1819
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Coughenour
Gender	Male
Speciality	Physical Therapist
Location	128 W Hickman Rd, Waukee, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124874375
Provider Enumeration Date: 04/29/2024
Last Update Date: 05/28/2024

Medicare PECOS Information:

PECOS PAC ID: 3577005628
Enrollment ID: I20240605000872

Medical Identifiers

Medical identifiers for Blake Coughenour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124874375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	124144 (Iowa)	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. Blake Coughenour allows following entities to bill medicare on his behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20150820012358

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. Blake Coughenour 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
Blake Coughenour, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: () -	Blake Coughenour, 128 W Hickman Rd, Waukee, IA 50263-5070 Ph: (515) 309-1819

Reviews and Comments

Physical Therapist in Waukee, IA

Mrs. Rebecca Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Hickman Rd, Waukee, IA 50263 Phone: 515-987-6267
Thomas Larsson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 205 Ne Dartmoor Dr, Waukee, IA 50263 Phone: 515-987-6267
Laura Renee Walter, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 452 Se University Ave, Waukee, IA 50263 Phone: 515-987-0465 Fax: 515-987-0929
Dr. Kelsey Marie Ziemann, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Hickman Rd, Waukee, IA 50263 Phone: 515-987-6267
Kristie A Smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 E Hickman Rd, Waukee, IA 50263 Phone: 515-216-2999 Fax: 515-216-2990
Kyle Dalen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Hickman Rd, Waukee, IA 50263 Phone: 515-987-6267
Laura Imming Hanson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 452 Se University Ave, Waukee, IA 50263 Phone: 515-987-0465

Blake Coughenour, - Medicare Physical Therapist in Waukee, IA