Dr Keli Nicole St Clair, DPT in Fargo, ND - Medicare Physical Therapist Provider

Dr Keli Nicole St Clair, DPT is a medicare enrolled "Physical Therapist" provider in Fargo, North Dakota. Her current practice location is 4674 40th Ave S Ste A, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 293-7294.

Dr Keli Nicole St Clair is licensed to practice in North Dakota (license number 1718) 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 1215038971.

Contact Information

	Dr Keli Nicole St Clair, DPT
	4674 40th Ave S Ste A, Fargo, ND 58104
	(701) 293-7294
	(701) 282-9738

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Keli Nicole St Clair
Gender	Female
Speciality	Physical Therapist
Location	4674 40th Ave S Ste A, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215038971
Provider Enumeration Date: 09/26/2006
Last Update Date: 06/29/2018

Medicare PECOS Information:

PECOS PAC ID: 7719986074
Enrollment ID: I20120705000249

Medical Identifiers

Medical identifiers for Dr Keli Nicole St Clair such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215038971	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11340 (North Carolina)	Secondary
225100000X	Physical Therapist	PT07024 (Louisiana)	Secondary
225100000X	Physical Therapist	1718 (North Dakota)	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. Dr Keli Nicole St Clair allows following entities to bill medicare on her behalf.

Provider Name	Rehabauthority Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730159690 PECOS PAC ID: 1355333931 Enrollment ID: O20110621000265

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. Dr Keli Nicole St Clair 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
Dr Keli Nicole St Clair, DPT 4674 40th Ave S Ste A, Fargo, ND 58104-4501 Ph: (701) 293-7294	Dr Keli Nicole St Clair, DPT 4674 40th Ave S Ste A, Fargo, ND 58104 Ph: (701) 293-7294

Reviews and Comments

Physical Therapist in Fargo, ND

Professional Rehabilitation Center Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4420 37th Ave S, Fargo, ND 58104 Phone: 701-451-9417
Mikaela Joy Dick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1461 Broadway N, Fargo, ND 58102 Phone: 701-293-6037
Adrienne Erdmann, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2401 41st St S, Fargo, ND 58104 Phone: 701-478-7868
Denise R Kroke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-280-2212 Fax: 701-271-1023
Sana Ali, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078
Ms. Theresa Marie Cowles, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-5799
Mrs. Brittany Sue Anderson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3001 11th St S, Fargo, ND 58103 Phone: 701-356-0062 Fax: 701-356-5412

Dr Keli Nicole St Clair, DPT - Medicare Physical Therapist in Fargo, ND