Katlyn Jo Douglas, PT, DPT, ATC in Webb City, MO - Medicare Physical Therapy Provider

Katlyn Jo Douglas, PT, DPT, ATC is a medicare enrolled "Physical Therapist" provider in Webb City, Missouri. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Serc Rehabilitation Partners Llc and her current practice location is 501 S Madison St, Ste L, Webb City, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 673-2156.

Katlyn Jo Douglas is licensed to practice in Missouri (license number 2017022200) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083140859.

Contact Information

	Katlyn Jo Douglas, PT, DPT, ATC
	501 S Madison St, Ste L, Webb City, MO 64870-2502
	(417) 673-2156
	(417) 673-2176

Map and Direction

Healthcare Provider's Profile

Full Name	Katlyn Jo Douglas
Gender	Female
Speciality	Physical Therapy
Experience	7 Years
Location	501 S Madison St, Webb City, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katlyn Jo Douglas graduated from medical school in 2017

NPI Data:

NPI Number: 1083140859
Provider Enumeration Date: 05/11/2017
Last Update Date: 02/27/2019

Medicare PECOS Information:

PECOS PAC ID: 2668741661
Enrollment ID: I20170707000309

Medical Identifiers

Medical identifiers for Katlyn Jo Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083140859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11-05675 (Kansas)	Secondary
225100000X	Physical Therapist	PT4604 (Arkansas)	Secondary
225100000X	Physical Therapist	2017022200 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Serc Rehabilitation Partners Llc	9830344563	200

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. Katlyn Jo Douglas allows following entities to bill medicare on her behalf.

Provider Name	Serc Rehabilitation Partners Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130304000500

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. Katlyn Jo Douglas 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
Katlyn Jo Douglas, PT, DPT, ATC 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564 Ph: (423) 238-7217	Katlyn Jo Douglas, PT, DPT, ATC 501 S Madison St, Ste L, Webb City, MO 64870-2502 Ph: (417) 673-2156

Reviews and Comments

Physical Therapist in Webb City, MO

Zachary Austin White, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 S Madison St, Ste L, Webb City, MO 64870 Phone: 417-673-2156 Fax: 417-673-2176
Alison M Rogers, MPT, CSMT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 S Madison St, Ste L, Webb City, MO 64870 Phone: 417-673-2157 Fax: 417-673-2176
Joshua James Reed, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 S Madison St, Webb City, MO 64870 Phone: 417-673-2156 Fax: 417-673-2176
Ms. Dawn M. Anderson-randall, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S Madison St, Ste F, Webb City, MO 64870 Phone: 417-673-0600 Fax: 417-673-0601
Breck Alan Mitchell, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 S Madison St Ste L, Webb City, MO 64870 Phone: 417-673-2156 Fax: 417-673-2176
Sara Beck, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 N Webb St, Webb City, MO 64870 Phone: 417-673-6070

Katlyn Jo Douglas, PT, DPT, ATC - Medicare Physical Therapist in Webb City, MO