Kathryn Theisen, in Waterbury, VT - Medicare Physical Therapist Provider

Kathryn Theisen, is a medicare enrolled "Physical Therapist" provider in Waterbury, Vermont. Her current practice location is 137 S Main St, Waterbury, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 488-1140.

Kathryn Theisen is licensed to practice in Vermont (license number 040.0134222) 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 1316360720.

Contact Information

	Kathryn Theisen,
	137 S Main St, Waterbury, VT 05676-1579
	(802) 488-1140
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathryn Theisen
Gender	Female
Speciality	Physical Therapist
Location	137 S Main St, Waterbury, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316360720
Provider Enumeration Date: 01/22/2014
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 2769886423
Enrollment ID: I20210803003034

Medical Identifiers

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

Identifier	Type	State	Issuer
1316360720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	040.0134222 (Vermont)	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 Theisen allows following entities to bill medicare on her behalf.

Provider Name	Provencher Physical Therapy, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225358310 PECOS PAC ID: 8729273925 Enrollment ID: O20150501000097

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 Theisen 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 Theisen, 13 Stowe St Apt 2, Waterbury, VT 05676-1820 Ph: (262) 391-4118	Kathryn Theisen, 137 S Main St, Waterbury, VT 05676-1579 Ph: (802) 488-1140

Reviews and Comments

Physical Therapist in Waterbury, VT

Lini B. Wing-alberghini, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 137 S Main St, Waterbury, VT 05676 Phone: 802-244-1140
Ms. Kathy C Provencher, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 137s Main St, Waterbury, VT 05676 Phone: 802-244-1140 Fax: 802-244-6851
Natasha Anand, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 S Main St Ste 7, Waterbury, VT 05676 Phone: 802-882-8538
Lucy B. D'aponte, M.S., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 137 S Main St, Waterbury, VT 05676 Phone: 802-244-1140 Fax: 802-244-6851
Vasta Pt Waterbury Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 S Main St Ste 6, Waterbury, VT 05676 Phone: 802-399-2244
Carolyn Bauman Dessureau, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 137 S Main St, Waterbury, VT 05676 Phone: 802-244-1140

Kathryn Theisen, - Medicare Physical Therapist in Waterbury, VT