Desirae Koonce, DPT in Oak Harbor, WA - Medicare Physical Therapist Provider

Desirae Koonce, DPT is a medicare enrolled "Physical Therapist" provider in Oak Harbor, Washington. Her current practice location is 275 Se Cabot Dr, Suite A-05, Oak Harbor, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 914-5504.

Desirae Koonce is licensed to practice in Washington (license number PT60729955) 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 1336546092.

Contact Information

	Desirae Koonce, DPT
	275 Se Cabot Dr, Suite A-05, Oak Harbor, WA 98277-3715
	(360) 914-5504
	(360) 639-4079

Map and Direction

Healthcare Provider's Profile

Full Name	Desirae Koonce
Gender	Female
Speciality	Physical Therapist
Location	275 Se Cabot Dr, Oak Harbor, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336546092
Provider Enumeration Date: 11/24/2014
Last Update Date: 04/03/2017

Medicare PECOS Information:

PECOS PAC ID: 8921324351
Enrollment ID: I20230123001952

Medical Identifiers

Medical identifiers for Desirae Koonce such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336546092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15174 (North Carolina)	Secondary
225100000X	Physical Therapist	PT60729955 (Washington)	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. Desirae Koonce allows following entities to bill medicare on her behalf.

Provider Name	Dynamix Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669619268 PECOS PAC ID: 5193873933 Enrollment ID: O20090504000677

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. Desirae Koonce 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
Desirae Koonce, DPT 4220 132nd St Se, Suite 101, Mill Creek, WA 98012-8999 Ph: (425) 357-9380	Desirae Koonce, DPT 275 Se Cabot Dr, Suite A-05, Oak Harbor, WA 98277-3715 Ph: (360) 914-5504

Reviews and Comments

Physical Therapist in Oak Harbor, WA

Mrs. Megan Christina Liggett, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 210 Se Pioneer Way, Suite 2, Oak Harbor, WA 98277 Phone: 360-679-8600 Fax: 360-679-8554
Dr. Rafael Weidenfeld, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 235 Sw 6th Ave, Oak Harbor, WA 98277 Phone: 360-678-5151
Tezra Damaso, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 Se Pioneer Way Ste 2, Oak Harbor, WA 98277 Phone: 360-682-2770
Mr. Phillip Renninger, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 E Whidbey Ave, Suite 102, Oak Harbor, WA 98277 Phone: 360-675-9030 Fax: 360-675-2204
Carey Louise Neves, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 Se Pioneer Way Ste 2, Oak Harbor, WA 98277 Phone: 360-679-8600 Fax: 360-679-8554
Romeen Abdollmohammadi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 Se Cabot Dr # 203, Oak Harbor, WA 98277 Phone: 360-279-1445 Fax: 360-279-9296
Allison Engert, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 Se Pioneer Way Ste 2, Oak Harbor, WA 98277 Phone: 360-679-8600

Desirae Koonce, DPT - Medicare Physical Therapist in Oak Harbor, WA