Kayla Jean Kukahiko, PT, DPT is a medicare enrolled "Physical Therapist" provider in Providence, Kentucky. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Fuller Physical Therapy and her current practice location is
123 E Main St, Providence, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 515-8080.
Kayla Jean Kukahiko is licensed to practice in Kentucky (license number 006147) 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 1043556491.
Healthcare Provider's Profile
| Full Name | Kayla Jean Kukahiko |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 12 Years |
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| Location | 123 E Main St, Providence, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kayla Jean Kukahiko graduated from medical school in 2012
NPI Data:
- NPI Number: 1043556491
- Provider Enumeration Date: 12/12/2012
- Last Update Date: 07/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 5991947087
- Enrollment ID: I20130820001024
Medical Identifiers
Medical identifiers for Kayla Jean Kukahiko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043556491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 006147 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fuller Physical Therapy | 6507054889 | 10 |
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 Jean Kukahiko allows following entities to bill medicare on her behalf.
| Provider Name | Fuller Physical Therapy |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1477857423
PECOS PAC ID: 6507054889
Enrollment ID: O20140113001544 |
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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 Jean Kukahiko 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 |
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Kayla Jean Kukahiko, PT, DPT
Po Box 445,
Hartford, KY 42347-0445
Ph: (270) 515-8080 | Kayla Jean Kukahiko, PT, DPT
123 E Main St,
Providence, KY 42450-1268
Ph: (270) 515-8080 |
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