Kaylan Taylor Stayton, PT, DPT in Portland, OR - Medicare Physical Therapist Provider

Kaylan Taylor Stayton, PT, DPT is a medicare enrolled "Physical Therapist" provider in Portland, Oregon. Her current practice location is 3016 Ne Broadway St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 287-6636.

Kaylan Taylor Stayton is licensed to practice in Tennessee (license number 15540) 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 1629837638.

Contact Information

	Kaylan Taylor Stayton, PT, DPT
	3016 Ne Broadway St, Portland, OR 97232-1811
	(503) 287-6636
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kaylan Taylor Stayton
Gender	Female
Speciality	Physical Therapist
Location	3016 Ne Broadway St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629837638
Provider Enumeration Date: 03/13/2024
Last Update Date: 03/13/2024

Medicare PECOS Information:

PECOS PAC ID: 2264870922
Enrollment ID: I20240401003137

Medical Identifiers

Medical identifiers for Kaylan Taylor Stayton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629837638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15540 (Tennessee)	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. Kaylan Taylor Stayton allows following entities to bill medicare on her behalf.

Provider Name	Broadway Physical Therapy And Sports Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326185950 PECOS PAC ID: 4183610611 Enrollment ID: O20040421001123

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. Kaylan Taylor Stayton 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
Kaylan Taylor Stayton, PT, DPT 13885 Sw Meridian St Unit 132, Beaverton, OR 97005-2481 Ph: (901) 483-2019	Kaylan Taylor Stayton, PT, DPT 3016 Ne Broadway St, Portland, OR 97232-1811 Ph: (503) 287-6636

Reviews and Comments

Physical Therapist in Portland, OR

Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500

Kaylan Taylor Stayton, PT, DPT - Medicare Physical Therapist in Portland, OR