Crysta Clark, DPT in Kenosha, WI - Medicare Physical Therapy Provider

Crysta Clark, DPT is a medicare enrolled "Physical Therapist" provider in Kenosha, Wisconsin. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Advantage Physical Therapy And Sports Rehab, Llc and her current practice location is 10222 74th St Ste 211, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 925-5020.

Crysta Clark is licensed to practice in Wisconsin (license number 15117) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992315287.

Contact Information

	Crysta Clark, DPT
	10222 74th St Ste 211, Kenosha, WI 53142-6810
	(262) 925-5020
	(262) 925-5021

Map and Direction

Healthcare Provider's Profile

Full Name	Crysta Clark
Gender	Female
Speciality	Physical Therapy
Experience	5 Years
Location	10222 74th St Ste 211, Kenosha, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Crysta Clark graduated from medical school in 2020

NPI Data:

NPI Number: 1992315287
Provider Enumeration Date: 08/03/2020
Last Update Date: 08/03/2020

Medicare PECOS Information:

PECOS PAC ID: 0042638827
Enrollment ID: I20200910001193

Medical Identifiers

Medical identifiers for Crysta Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992315287	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15117 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advantage Physical Therapy And Sports Rehab, Llc	8022016336	22

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. Crysta Clark allows following entities to bill medicare on her behalf.

Provider Name	Advantage Physical Therapy & Sports Rehab, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881773463 PECOS PAC ID: 8022016336 Enrollment ID: O20061121000412

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. Crysta Clark 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
Crysta Clark, DPT 3921 30th Ave Ste C, Kenosha, WI 53144-1939 Ph: (262) 925-5000	Crysta Clark, DPT 10222 74th St Ste 211, Kenosha, WI 53142-6810 Ph: (262) 925-5020

Reviews and Comments

Physical Therapist in Kenosha, WI

Lindsay B.n. Laubmeier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 30th Ave, Suite 103, Kenosha, WI 53144 Phone: 262-657-7071 Fax: 262-657-0632
Mrs. Sherry M Clifton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1218 79th St, Kenosha, WI 53143 Phone: 262-658-9500
Jeffrey S Serchen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7540 22nd Ave, Kenosha, WI 53143 Phone: 262-656-7800
Morgan P Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3601 30th Ave Ste 103, Kenosha, WI 53144 Phone: 262-657-7071
Kenosha Achievement Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1218 79th St, Kenosha, WI 53143 Phone: 262-658-9500 Fax: 262-658-9621
Tyler Raymaker, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3701 80th St, Kenosha, WI 53142 Phone: 262-697-1730
Erika M Kurzac, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3535 30th Ave Ste 101, Kenosha, WI 53144 Phone: 262-657-7071

Crysta Clark, DPT - Medicare Physical Therapist in Kenosha, WI