Keith Kmieczak, MSPT in Ephrata, PA - Medicare Physical Therapist Provider

Keith Kmieczak, MSPT is a medicare enrolled "Physical Therapist" provider in Ephrata, Pennsylvania. His current practice location is 136 Lake St, Suite E, Ephrata, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 466-5880.

Keith Kmieczak is licensed to practice in Pennsylvania (license number PT013342L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932181542.

Contact Information

	Keith Kmieczak, MSPT
	136 Lake St, Suite E, Ephrata, PA 17522
	(717) 466-5880
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keith Kmieczak
Gender	Male
Speciality	Physical Therapist
Location	136 Lake St, Ephrata, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932181542
Provider Enumeration Date: 11/18/2005
Last Update Date: 08/18/2022

Medicare PECOS Information:

PECOS PAC ID: 4284082678
Enrollment ID: I20231123000072

Medical Identifiers

Medical identifiers for Keith Kmieczak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932181542	NPI	-	NPPES
2053032000	Other	PA	INDEPENDENCE BLUE SHIELD
50017328	Other	PA	CAPITAL BLUE CROSS
2719587	Other	PA	AETNA
814494	Other	PA	FIRST PRIORITY
1360739	Other	PA	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT013342L (Pennsylvania)	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. Keith Kmieczak allows following entities to bill medicare on his behalf.

Provider Name	Drayer Physical Therapy Institute Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538122700 PECOS PAC ID: 8224948666 Enrollment ID: O20040126000110

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. Keith Kmieczak 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
Keith Kmieczak, MSPT 297 Orchard View Dr, Leola, PA 17540-1632 Ph: (717) 283-6797	Keith Kmieczak, MSPT 136 Lake St, Suite E, Ephrata, PA 17522 Ph: (717) 466-5880

Reviews and Comments

Physical Therapist in Ephrata, PA

William Helm, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136e Lake St, Ephrata, PA 17522 Phone: 717-738-7979
Dr. Alicia S Feathers, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 333 Wheat Ridge Dr, Ephrata, PA 17522 Phone: 717-354-1858 Fax: 717-354-1873
Danielle Lynn Burns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136e Lake St, Ephrata, PA 17522 Phone: 717-738-7979 Fax: 717-738-7970
Jill Aileen Millard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-738-6652
Luke R Atkins, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1635 W Main St Ste 500, Ephrata, PA 17522 Phone: 717-738-0004 Fax: 717-735-0041
James Mckeown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136e Lake St, Ephrata, PA 17522 Phone: 717-738-7979
Dr. Tiffany Ann Fritz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 136 Lake Street, Suite E, Ephrata, PA 17522 Phone: 717-466-5880 Fax: 717-980-2754

Keith Kmieczak, MSPT - Medicare Physical Therapist in Ephrata, PA