Kellie Golik, PT, DPT in Los Altos, CA - Medicare Physical Therapist Provider

Kellie Golik, PT, DPT is a medicare enrolled "Physical Therapist" provider in Los Altos, California. Her current practice location is 885 N San Antonio Rd Ste J, Los Altos, California. You can reach out to her office (for appointments etc.) via phone at (650) 559-0011.

Kellie Golik is licensed to practice in California (license number PT39178) 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 1346590643.

Contact Information

	Kellie Golik, PT, DPT
	885 N San Antonio Rd Ste J, Los Altos, CA 94022-1305
	(650) 559-0011
	(650) 559-0012

Map and Direction

Healthcare Provider's Profile

Full Name	Kellie Golik
Gender	Female
Speciality	Physical Therapist
Location	885 N San Antonio Rd Ste J, Los Altos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346590643
Provider Enumeration Date: 09/13/2012
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 1153571674
Enrollment ID: I20121018000485

Medical Identifiers

Medical identifiers for Kellie Golik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346590643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT39178 (California)	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. Kellie Golik allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Kellie Golik 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
Kellie Golik, PT, DPT 885 N San Antonio Rd Ste J, Los Altos, CA 94022-1305 Ph: (650) 559-0011	Kellie Golik, PT, DPT 885 N San Antonio Rd Ste J, Los Altos, CA 94022-1305 Ph: (650) 559-0011

Reviews and Comments

Physical Therapist in Los Altos, CA

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Kellie Golik, PT, DPT - Medicare Physical Therapist in Los Altos, CA