Kayla Rose Bomben, DPT in Grants Pass, OR - Medicare Physical Therapist Provider

Kayla Rose Bomben, DPT is a medicare enrolled "Physical Therapist" provider in Grants Pass, Oregon. Her current practice location is 497 Sw Ramsey Ave, Grants Pass, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 476-1919.

Kayla Rose Bomben is licensed to practice in Oregon (license number 64957) 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 1316624232.

Contact Information

	Kayla Rose Bomben, DPT
	497 Sw Ramsey Ave, Grants Pass, OR 97527-5681
	(541) 476-1919
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kayla Rose Bomben
Gender	Female
Speciality	Physical Therapist
Location	497 Sw Ramsey Ave, Grants Pass, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316624232
Provider Enumeration Date: 07/03/2023
Last Update Date: 10/24/2024

Medicare PECOS Information:

PECOS PAC ID: 0547620882
Enrollment ID: I20230718001780

Medical Identifiers

Medical identifiers for Kayla Rose Bomben such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316624232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	64957 (Oregon)	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. Kayla Rose Bomben allows following entities to bill medicare on her behalf.

Provider Name	Benchmark Physical Therapy Of Oregon Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1801257191 PECOS PAC ID: 0143510602 Enrollment ID: O20160613001008

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. Kayla Rose Bomben 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
Kayla Rose Bomben, DPT 4014 Guildford A, Boca Raton, FL 33434-2989 Ph: (647) 822-4072	Kayla Rose Bomben, DPT 497 Sw Ramsey Ave, Grants Pass, OR 97527-5681 Ph: (541) 476-1919

Reviews and Comments

Physical Therapist in Grants Pass, OR

Jennifer Ostfeld Medley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Sw Ramsey Ave Ste 220, Grants Pass, OR 97527 Phone: 541-479-0765 Fax: 541-479-3461
Doranne Long, M.S., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 544 Union Ave, Grants Pass, OR 97527 Phone: 541-955-0940 Fax: 541-955-5233
Jonathan Anders, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 625 Sw Ramsey Ave Ste B, Grants Pass, OR 97527 Phone: 541-479-6979
Kimberly Ann Johnson, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 625 Sw Ramsey, Suite B, Grants Pass, OR 97527 Phone: 541-476-1919 Fax: 541-476-1920
Bruce Balcita Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 337 Union Ave Ste D, Grants Pass, OR 97527 Phone: 541-974-8572
Impact Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 625 Ramsey Ave, Suite B, Grants Pass, OR 97527 Phone: 541-476-1919 Fax: 541-476-1920
Mr. Ted Iwamizu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 873 Ne 7th St, Grants Pass, OR 97526 Phone: 541-474-6955

Kayla Rose Bomben, DPT - Medicare Physical Therapist in Grants Pass, OR