Evan Kostenko, PT in Bainbridge Island, WA - Medicare Physical Therapist Provider

Evan Kostenko, PT is a medicare enrolled "Physical Therapist" provider in Bainbridge Island, Washington. His current practice location is 9419 Coppertop Loop Ne, Bainbridge Island, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 842-2428.

Evan Kostenko is licensed to practice in Washington (license number PT61310897) 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 1255062790.

Contact Information

	Evan Kostenko, PT
	9419 Coppertop Loop Ne, Bainbridge Island, WA 98110-3647
	(206) 842-2428
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evan Kostenko
Gender	Male
Speciality	Physical Therapist
Location	9419 Coppertop Loop Ne, Bainbridge Island, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255062790
Provider Enumeration Date: 06/23/2022
Last Update Date: 06/23/2022

Medicare PECOS Information:

PECOS PAC ID: 9133501208
Enrollment ID: I20220805001864

Medical Identifiers

Medical identifiers for Evan Kostenko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255062790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT61310897 (Washington)	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. Evan Kostenko allows following entities to bill medicare on his behalf.

Provider Name	New Motion Physical Therapy, Inc., Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578518668 PECOS PAC ID: 9638162993 Enrollment ID: O20040405000631

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. Evan Kostenko 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
Evan Kostenko, PT 9419 Coppertop Loop Ne, Bainbridge Island, WA 98110-3647 Ph: (206) 842-2428	Evan Kostenko, PT 9419 Coppertop Loop Ne, Bainbridge Island, WA 98110-3647 Ph: (206) 842-2428

Reviews and Comments

Physical Therapist in Bainbridge Island, WA

Adriana Luz Gonzalez-medina, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 840 Madison Ave N # 102, #102, Bainbridge Island, WA 98110 Phone: 206-855-0955
Jeanene Marie Nover, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 840 Madison Ave N, Suite 102, Bainbridge Island, WA 98110 Phone: 206-855-0955 Fax: 206-855-0801
Deanna Marie Dewell-price, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9419 Coppertop Loop Ne, Bainbridge Island, WA 98110 Phone: 206-842-2428 Fax: 206-842-2890
Lynn Ahlin Hutchinson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Winslow Way W Unit 200, Bainbridge Island, WA 98110 Phone: 206-855-8455 Fax: 206-855-8465
Angela Spooner Hanson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11820 Penny Pl Ne, Bainbridge Island, WA 98110 Phone: 206-757-0491
Mary-beth Hannon Kobs, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9419 Coppertop Loop Ne, Bainbridge Island, WA 98110 Phone: 206-842-2428 Fax: 206-842-2890
White Pine Physical Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4617 Chardonnay Ln Ne Apt 101, Bainbridge Island, WA 98110 Phone: 206-552-8670

Evan Kostenko, PT - Medicare Physical Therapist in Bainbridge Island, WA