Kaden Sutherland, PT in Rexburg, ID - Medicare Physical Therapist Provider

Kaden Sutherland, PT is a medicare enrolled "Physical Therapist" provider in Rexburg, Idaho. His current practice location is 217 N 2nd E, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 359-6127.

Kaden Sutherland is licensed to practice in Idaho (license number PT-8704) 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 1912697541.

Contact Information

	Kaden Sutherland, PT
	217 N 2nd E, Rexburg, ID 83440-1621
	(208) 359-6127
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kaden Sutherland
Gender	Male
Speciality	Physical Therapist
Location	217 N 2nd E, Rexburg, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912697541
Provider Enumeration Date: 05/08/2023
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2365800992
Enrollment ID: I20230614001125

Medical Identifiers

Medical identifiers for Kaden Sutherland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912697541	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-8704 (Idaho)	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. Kaden Sutherland allows following entities to bill medicare on his behalf.

Provider Name	Spine And Sport Pysical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992975825 PECOS PAC ID: 5799772380 Enrollment ID: O20040427000396

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. Kaden Sutherland 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
Kaden Sutherland, PT 217 N 2nd E, Rexburg, ID 83440-1621 Ph: (208) 359-6127	Kaden Sutherland, PT 217 N 2nd E, Rexburg, ID 83440-1621 Ph: (208) 359-6127

Reviews and Comments

Physical Therapist in Rexburg, ID

Jakob Carstens, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502
Clark Dabell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502
Cordell Pickering, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 526 First American Cir Ste B, Rexburg, ID 83440 Phone: 208-534-7001
Cody Lane Castellaw, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-9570
Anthony Humphries, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502
Morgan Jesse Ricks, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36 Winn Dr Ste 100, Rexburg, ID 83440 Phone: 208-356-0174 Fax: 208-356-0176
George Garald Griffeth, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6532

Kaden Sutherland, PT - Medicare Physical Therapist in Rexburg, ID