Dr Taylor Koudela, PT, DPT is a medicare enrolled "Physical Therapist" provider in El Campo, Texas. Her current practice location is
248 Wisteria Ln, El Campo, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 648-2628.
Dr Taylor Koudela is licensed to practice in Texas (license number 1334251) 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 1609488055.
Healthcare Provider's Profile
Full Name | Dr Taylor Koudela |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 248 Wisteria Ln, El Campo, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609488055
- Provider Enumeration Date: 08/18/2020
- Last Update Date: 08/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 6709204423
- Enrollment ID: I20200914000052
Medical Identifiers
Medical identifiers for Dr Taylor Koudela such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609488055 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1334251 (Texas) | 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 Taylor Koudela allows following entities to bill medicare on her behalf.
Provider Name | Zoom Physical Therapy And Wellness, P.l.l.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1255686374 PECOS PAC ID: 8022254614 Enrollment ID: O20130427000007 |
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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 Taylor Koudela 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 Taylor Koudela, PT, DPT 248 Wisteria Ln, El Campo, TX 77437-2545 Ph: (979) 648-2628 | Dr Taylor Koudela, PT, DPT 248 Wisteria Ln, El Campo, TX 77437-2545 Ph: (979) 648-2628 |
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