Courtney Suppa, PT, DPT in Alexandria, MN - Medicare Physical Therapist Provider

Courtney Suppa, PT, DPT is a medicare enrolled "Physical Therapist" provider in Alexandria, Minnesota. Her current practice location is 111 17th Ave E, Alexandria, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 762-1511.

Courtney Suppa is licensed to practice in Minnesota (license number 12359) 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 1154090462.

Contact Information

	Courtney Suppa, PT, DPT
	111 17th Ave E, Alexandria, MN 56308-5273
	(320) 762-1511
	(320) 762-6857

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Suppa
Gender	Female
Speciality	Physical Therapist
Location	111 17th Ave E, Alexandria, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154090462
Provider Enumeration Date: 09/09/2021
Last Update Date: 11/17/2023

Medicare PECOS Information:

PECOS PAC ID: 5597150078
Enrollment ID: I20221003000734

Medical Identifiers

Medical identifiers for Courtney Suppa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154090462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2603 (North Dakota)	Secondary
225100000X	Physical Therapist	12359 (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. Courtney Suppa allows following entities to bill medicare on her behalf.

Provider Name	Sanford Clinic North
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264

Provider Name	Sanford Medical Center Fargo
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031

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. Courtney Suppa 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
Courtney Suppa, PT, DPT 111 17th Ave E, Alexandria, MN 56308-5273 Ph: (320) 762-1511	Courtney Suppa, PT, DPT 111 17th Ave E, Alexandria, MN 56308-5273 Ph: (320) 762-1511

Reviews and Comments

Physical Therapist in Alexandria, MN

Lindsey Marie Knoll, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3007 Broadway St Unit 102, Alexandria, MN 56308 Phone: 320-460-1188
Nicholas Doeling, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6600 State Highway 29 S, Alexandria, MN 56308 Phone: 320-763-8888 Fax: 320-200-7478
Amanda Leigh Knettel, P.T., D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-6079
Hart To Heart Senior Services, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1306 Ridgeway Drive, Alexandria, MN 56308 Phone: 320-766-2717
John E Amundson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 410 30th Ave E Ste 102, Alexandria, MN 56308 Phone: 320-763-5505 Fax: 320-763-4447
Erin M Mccoy, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-6079
Richelle M Dack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-6079

Courtney Suppa, PT, DPT - Medicare Physical Therapist in Alexandria, MN