Carly Michelle Machacek, DPT in Peoria, IL - Medicare Physical Therapist Provider

Carly Michelle Machacek, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Peoria, Illinois. Her current practice location is 9901 N Knoxville Ave Ste D, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 243-1989.

Carly Michelle Machacek is licensed to practice in Missouri (license number 2019031259) 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 1700446721.

Contact Information

	Carly Michelle Machacek, DPT
	9901 N Knoxville Ave Ste D, Peoria, IL 61615-1433
	(309) 243-1989
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Michelle Machacek
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	9901 N Knoxville Ave Ste D, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700446721
Provider Enumeration Date: 06/20/2019
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7719351469
Enrollment ID: I20230320000694

Medical Identifiers

Medical identifiers for Carly Michelle Machacek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700446721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Secondary
2251X0800X	Physical Therapist - Orthopedic	11-06393 (Kansas)	Secondary
2251X0800X	Physical Therapist - Orthopedic	2019031259 (Missouri)	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. Carly Michelle Machacek allows following entities to bill medicare on her behalf.

Provider Name	Rock Valley Physical Therapy Center
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1245373166 PECOS PAC ID: 9638087877 Enrollment ID: O20040630000390

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. Carly Michelle Machacek 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
Carly Michelle Machacek, DPT 850 43rd Ave Ste 100, Moline, IL 61265-8401 Ph: (309) 743-2070	Carly Michelle Machacek, DPT 9901 N Knoxville Ave Ste D, Peoria, IL 61615-1433 Ph: (309) 243-1989

Reviews and Comments

Physical Therapist in Peoria, IL

Michelle C Bayer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2338 W Van Winkle Way, Suite 3100, Peoria, IL 61615 Phone: 309-693-9189 Fax: 309-693-9946
Payton Hufnagel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-883-5070
Jonathan R Sutter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-4109
Matthew Schultz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-621-4111
Molly D Lisenby, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5009 N Executive Dr Ste B, Peoria, IL 61614 Phone: 309-839-8631 Fax: 855-579-3536
Vanessa L Halstead, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-687-2035
Mrs. Theresa L. Snedden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-692-8110

Carly Michelle Machacek, DPT - Medicare Physical Therapist in Peoria, IL