Kathryn Gail Rustebakke, PT in Grand Forks, ND - Medicare Physical Therapist Provider

Kathryn Gail Rustebakke, PT is a medicare enrolled "Physical Therapist" provider in Grand Forks, North Dakota. Her current practice location is 701 Demers Ave, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 772-2200.

Kathryn Gail Rustebakke is licensed to practice in North Dakota (license number 768) 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 1750500054.

Contact Information

	Kathryn Gail Rustebakke, PT
	701 Demers Ave, Grand Forks, ND 58201-4506
	(701) 772-2200
	(701) 772-2800

Map and Direction

Healthcare Provider's Profile

Full Name	Kathryn Gail Rustebakke
Gender	Female
Speciality	Physical Therapist
Location	701 Demers Ave, Grand Forks, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750500054
Provider Enumeration Date: 04/25/2007
Last Update Date: 07/09/2013

Medicare PECOS Information:

PECOS PAC ID: 3072608462
Enrollment ID: I20071001000075

Medical Identifiers

Medical identifiers for Kathryn Gail Rustebakke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750500054	NPI	-	NPPES
28850	Other		BLUE CROSS BLUE SHIELD
64-08167	Other		MEDICA
55119	Medicaid	ND
B17461052130	Other		PREFERRED ONE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	768 (North Dakota)	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. Kathryn Gail Rustebakke allows following entities to bill medicare on her behalf.

Provider Name	Life Skills And Transition Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558427708 PECOS PAC ID: 7113986159 Enrollment ID: O20041006000563

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. Kathryn Gail Rustebakke 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
Kathryn Gail Rustebakke, PT 1560 S Carol St, Meridian, ID 83646-1839 Ph: (208) 288-1155	Kathryn Gail Rustebakke, PT 701 Demers Ave, Grand Forks, ND 58201-4506 Ph: (701) 772-2200

Reviews and Comments

Physical Therapist in Grand Forks, ND

Steven Isamu Panos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000
Nicholas Holkup, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5610
Achieve Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 1425 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-746-8374 Fax: 701-780-0885
Janelle E Askvig, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5000
Adam James Suedel, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 117 N Washington St, Grand Forks, ND 58203 Phone: 701-317-2897 Fax: 701-213-4345
Dr. Brandon James Moeller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 Fax: 701-780-5772
Corey Zimmerman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1750 47th Ave S, Grand Forks, ND 58201 Phone: 701-757-8700

Kathryn Gail Rustebakke, PT - Medicare Physical Therapist in Grand Forks, ND