Elise Louise Kraft, PT, DPT is a medicare enrolled "Physical Therapy Assistant" provider in Leesburg, Virginia. Her current practice location is
210b Fort Evans Rd Ne, Leesburg, Virginia. You can reach out to her office (for appointments etc.) via phone at
(571) 367-7960.
Elise Louise Kraft is licensed to practice in Virginia (license number CP014669T) 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 1871221622.
Healthcare Provider's Profile
| Full Name | Elise Louise Kraft |
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| Gender | Female |
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| Speciality | Physical Therapy Assistant |
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| Location | 210b Fort Evans Rd Ne, Leesburg, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871221622
- Provider Enumeration Date: 08/10/2022
- Last Update Date: 09/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113393612
- Enrollment ID: I20221025002963
Medical Identifiers
Medical identifiers for Elise Louise Kraft such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871221622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 2525 (North Dakota) | Secondary |
| 225200000X | Physical Therapy Assistant | CP014669T (Virginia) | 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. Elise Louise Kraft allows following entities to bill medicare on her behalf.
| Provider Name | Professional Sportscare & Rehab Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1033142294
PECOS PAC ID: 9335137363
Enrollment ID: O20161101000040 |
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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. Elise Louise Kraft 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 |
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Elise Louise Kraft, PT, DPT
210b Fort Evans Rd Ne,
Leesburg, VA 20176-4497
Ph: (571) 367-7960 | Elise Louise Kraft, PT, DPT
210b Fort Evans Rd Ne,
Leesburg, VA 20176-4497
Ph: (571) 367-7960 |
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