Gerald Kephart, PT, DPT in Brea, CA - Medicare Physical Therapist Provider

Gerald Kephart, PT, DPT is a medicare enrolled "Physical Therapist" provider in Brea, California. His current practice location is 242 Napoli Dr, Brea, California. You can reach out to his office (for appointments etc.) via phone at (714) 321-8692.

Gerald Kephart is licensed to practice in California (license number 40923) 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 1134679756.

Contact Information

	Gerald Kephart, PT, DPT
	242 Napoli Dr, Brea, CA 92821-4024
	(714) 321-8692
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gerald Kephart
Gender	Male
Speciality	Physical Therapist
Location	242 Napoli Dr, Brea, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134679756
Provider Enumeration Date: 10/06/2016
Last Update Date: 10/25/2021

Medicare PECOS Information:

PECOS PAC ID: 6103109020
Enrollment ID: I20170220000512

Medical Identifiers

Medical identifiers for Gerald Kephart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134679756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40923 (California)	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. Gerald Kephart allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Gerald Kephart 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
Gerald Kephart, PT, DPT 242 Napoli Dr, Brea, CA 92821-4024 Ph: (714) 321-8692	Gerald Kephart, PT, DPT 242 Napoli Dr, Brea, CA 92821-4024 Ph: (714) 321-8692

Reviews and Comments

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Gerald Kephart, PT, DPT - Medicare Physical Therapist in Brea, CA