Diane Threlkeld, DPT in Glen Carbon, IL - Medicare Physical Therapist Provider

Diane Threlkeld, DPT is a medicare enrolled "Physical Therapist" provider in Glen Carbon, Illinois. Her current practice location is 138 Junction Dr, Glen Carbon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 636-5756.

Diane Threlkeld is licensed to practice in Illinois (license number 070020213) 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 1891118410.

Contact Information

	Diane Threlkeld, DPT
	138 Junction Dr, Glen Carbon, IL 62034-4322
	(618) 636-5756
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Diane Threlkeld
Gender	Female
Speciality	Physical Therapist
Location	138 Junction Dr, Glen Carbon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891118410
Provider Enumeration Date: 02/03/2014
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 4486887908
Enrollment ID: I20140507000550

Medical Identifiers

Medical identifiers for Diane Threlkeld such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891118410	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070020213 (Illinois)	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. Diane Threlkeld allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Illinois Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353

Provider Name	Empowerme Wellness Kansas City Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954

Provider Name	Axes Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1093425944 PECOS PAC ID: 3375840028 Enrollment ID: O20230510000266

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. Diane Threlkeld 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
Diane Threlkeld, DPT 647 Spirit Airpark West Dr Ste 101, Chesterfield, MO 63005-1032 Ph: (636) 206-4225	Diane Threlkeld, DPT 138 Junction Dr, Glen Carbon, IL 62034-4322 Ph: (618) 636-5756

Reviews and Comments

Physical Therapist in Glen Carbon, IL

Divya Merchant, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4955 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4677
Jesse Moore, DPT, MBA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3008 Huntsville Dr, Glen Carbon, IL 62034 Phone: 317-691-6262
Michelle Vermaux, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388
Fitness Designs Physical Therapy And Sports Rehab Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 16 Ginger Creek Pkwy, Glen Carbon, IL 62034 Phone: 618-656-1122 Fax: 618-656-1171
Ashley Lack, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Junction Dr W Ste 4, Glen Carbon, IL 62034 Phone: 618-288-8020
Mrs. Kelli D Evans, MSRPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16 Ginger Creek Pkwy, Glen Carbon, IL 62034 Phone: 618-656-1122 Fax: 618-656-1171
Mrs. Deanne Louise Perry, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Ginger Creek Pkwy, Glen Carbon, IL 62034 Phone: 618-656-1122 Fax: 618-656-1171

Diane Threlkeld, DPT - Medicare Physical Therapist in Glen Carbon, IL