Kayli Marie Kullos, in Peoria, AZ - Medicare Physical Therapist Provider

Kayli Marie Kullos, is a medicare enrolled "Physical Therapist" provider in Peoria, Arizona. Her current practice location is 21391 N Lake Pleasant Pkwy Ste 1810, Peoria, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 334-8767.

Kayli Marie Kullos is licensed to practice in Arizona (license number LPT-32766) 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 1881307627.

Contact Information

	Kayli Marie Kullos,
	21391 N Lake Pleasant Pkwy Ste 1810, Peoria, AZ 85382-2000
	(623) 334-8767
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kayli Marie Kullos
Gender	Female
Speciality	Physical Therapist
Location	21391 N Lake Pleasant Pkwy Ste 1810, Peoria, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881307627
Provider Enumeration Date: 12/26/2022
Last Update Date: 01/15/2023

Medicare PECOS Information:

PECOS PAC ID: 0244692135
Enrollment ID: I20230809001120

Medical Identifiers

Medical identifiers for Kayli Marie Kullos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881307627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	LPT-32766 (Arizona)	Primary
225100000X	Physical Therapist	(* (Not Available))	Secondary

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. Kayli Marie Kullos allows following entities to bill medicare on her behalf.

Provider Name	Desert Edge Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710487707 PECOS PAC ID: 6901168400 Enrollment ID: O20180606002416

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. Kayli Marie Kullos 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
Kayli Marie Kullos, 21391 N Lake Pleasant Pkwy Ste 1810, Peoria, AZ 85382-2000 Ph: (623) 334-8767	Kayli Marie Kullos, 21391 N Lake Pleasant Pkwy Ste 1810, Peoria, AZ 85382-2000 Ph: (623) 334-8767

Reviews and Comments

Physical Therapist in Peoria, AZ

Michelle Renae Wagoner, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9713 W Tonopah Dr, Peoria, AZ 85382 Phone: 480-381-0220 Fax: 623-594-9094
Bradley Day, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8643 W Kelton Ln Ste 106, Peoria, AZ 85382 Phone: 623-979-8900 Fax: 480-860-0356
Andrew Yanes, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7707 W Deer Valley Rd Ste 100, Peoria, AZ 85382 Phone: 480-706-1161
Total Body Zone Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8440 W Thunderbird Rd, Peoria, AZ 85381 Phone: 623-776-9662 Fax: 623-776-2813
Dr. Lindsey K Tellez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9401 W Thunderbird Rd Ste 190, Peoria, AZ 85381 Phone: 623-977-5451
Lanora Riley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6760 W Thunderbird Rd Ste E110, Peoria, AZ 85381 Phone: 623-846-7614 Fax: 623-846-0993
Alexander Rodriguez Del Villar, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7707 W Deer Valley Rd Ste 100, Peoria, AZ 85382 Phone: 623-376-9100

Kayli Marie Kullos, - Medicare Physical Therapist in Peoria, AZ