Jacob Kettner, PT in Warrensburg, MO - Medicare Physical Therapist Provider

Jacob Kettner, PT is a medicare enrolled "Physical Therapist" provider in Warrensburg, Missouri. His current practice location is 540 E Young Ave Ste E, Warrensburg, Missouri. You can reach out to his office (for appointments etc.) via phone at (660) 262-4795.

Jacob Kettner is licensed to practice in Missouri (license number CP034808T) 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 1225683808.

Contact Information

	Jacob Kettner, PT
	540 E Young Ave Ste E, Warrensburg, MO 64093-1250
	(660) 262-4795
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Kettner
Gender	Male
Speciality	Physical Therapist
Location	540 E Young Ave Ste E, Warrensburg, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225683808
Provider Enumeration Date: 08/09/2019
Last Update Date: 12/23/2024

Medicare PECOS Information:

PECOS PAC ID: 3779960273
Enrollment ID: I20220523002707

Medical Identifiers

Medical identifiers for Jacob Kettner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225683808	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP034808T (Missouri)	Primary
2251P0200X	Physical Therapist - Pediatrics	(* (Not Available))	Secondary
225100000X	Physical Therapist	PT4666 (Arkansas)	Secondary

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. Jacob Kettner allows following entities to bill medicare on his behalf.

Provider Name	Advanced Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1427401702 PECOS PAC ID: 5395032882 Enrollment ID: O20160927002419

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. Jacob Kettner 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
Jacob Kettner, PT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217	Jacob Kettner, PT 540 E Young Ave Ste E, Warrensburg, MO 64093-1250 Ph: (660) 262-4795

Reviews and Comments

Physical Therapist in Warrensburg, MO

Christopher Scott Lichte, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 407 E Russell Ave, Building A Suite 6, Warrensburg, MO 64093 Phone: 660-429-4700 Fax: 660-429-0500
Brandon Timothy Alumbaugh, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-747-0247 Fax: 660-747-0347
Jennifer L Dirnberger, PT, CSCI Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E Young Ave, Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347
Amanda Jean Wakeman, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 540 E Young Ave, Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347
Kennedi Mcvicker, Physical Therapist Medicare: Medicare Enrolled Practice Location: 609 E Young Ave Unit B1-2, Warrensburg, MO 64093 Phone: 660-747-2370
Robert James Massman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 E Young Ave Ste E, Warrensburg, MO 64093 Phone: 660-262-4795 Fax: 660-747-0347

Jacob Kettner, PT - Medicare Physical Therapist in Warrensburg, MO