Dr Kellen Goertzen, DPT in Papillion, NE - Medicare Physical Therapist Provider

Dr Kellen Goertzen, DPT is a medicare enrolled "Physical Therapist" provider in Papillion, Nebraska. His current practice location is 310 E Gold Coast Rd, Ste 113, Papillion, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 504-6506.

Dr Kellen Goertzen is licensed to practice in Nebraska (license number 3957) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639557101.

Contact Information

	Dr Kellen Goertzen, DPT
	310 E Gold Coast Rd, Ste 113, Papillion, NE 68046
	(402) 504-6506
	(402) 504-6509

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kellen Goertzen
Gender	Male
Speciality	Physical Therapist
Location	310 E Gold Coast Rd, Papillion, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639557101
Provider Enumeration Date: 05/15/2015
Last Update Date: 08/02/2019

Medicare PECOS Information:

PECOS PAC ID: 0446562169
Enrollment ID: I20240717000585

Medical Identifiers

Medical identifiers for Dr Kellen Goertzen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639557101	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1259107 (Texas)	Secondary
225100000X	Physical Therapist	3957 (Nebraska)	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 Kellen Goertzen allows following entities to bill medicare on his behalf.

Provider Name	Edge Rehabilitation & Wellness Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1770852006 PECOS PAC ID: 7911169701 Enrollment ID: O20120423000783

Provider Name	Intermountain Medical Group Denver, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131

Provider Name	Colorado Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891461125 PECOS PAC ID: 7517363617 Enrollment ID: O20210914002694

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 Kellen Goertzen 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 Kellen Goertzen, DPT 13809 Industrial Rd, Omaha, NE 68137 Ph: (402) 932-7111	Dr Kellen Goertzen, DPT 310 E Gold Coast Rd, Ste 113, Papillion, NE 68046 Ph: (402) 504-6506

Reviews and Comments

Physical Therapist in Papillion, NE

Danielle R Thiessen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10601 S 72nd St Ste 103, Papillion, NE 68046 Phone: 402-932-2782 Fax: 402-932-2705
Mrs. Ann Elizabeth Kastrup, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 S Polk St, Papillion, NE 68046 Phone: 402-339-7700
Nolan Wallace, Physical Therapist Medicare: Medicare Enrolled Practice Location: 114 E 1st St Ste 105, Papillion, NE 68046 Phone: 402-933-2010
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8419 S 73rd Plz, Suite 104, Papillion, NE 68046 Phone: 402-991-2745
Noemi Lagman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1907 Ridgeview Dr, Papillion, NE 68046 Phone: 402-614-5105
Caitlin M Boadwee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 114 E 1st St Ste 105, Papillion, NE 68046 Phone: 402-933-2010 Fax: 402-933-3050
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11336 S 96th St Ste 114, Papillion, NE 68046 Phone: 402-315-3603 Fax: 402-315-3604

Dr Kellen Goertzen, DPT - Medicare Physical Therapist in Papillion, NE