Kellogg Physical Therapy Inc in Kellogg, ID - Medicare Physical Therapist Provider

Kellogg Physical Therapy Inc is a medicare enrolled "Physical Therapist" provider in Kellogg, Idaho. Their current practice location is 740 Mckinley Ave, Kellogg, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 783-3015.

Kellogg Physical Therapy Inc is licensed to practice in Idaho (license number RPT631) and it also participates in the medicare program. Kellogg Physical Therapy Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1700898376.

Contact Information

	Kellogg Physical Therapy Inc
	740 Mckinley Ave, Kellogg, ID 83837-2693
	(208) 783-3015
	(208) 783-3015

Map and Direction

Healthcare Provider's Profile

Full Name	Kellogg Physical Therapy Inc
Type	Facility
Speciality	Physical Therapist
Location	740 Mckinley Ave, Kellogg, Idaho
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700898376
Provider Enumeration Date: 08/12/2006
Last Update Date: 08/22/2020

Medicare PECOS Information:

PECOS PAC ID: 4082618384
Enrollment ID: O20060829000067

Medical Identifiers

Medical identifiers for Kellogg Physical Therapy Inc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700898376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	RPT631 (Idaho)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kellogg Physical Therapy Inc acts as a billing entity for following providers:

Provider Name	Rusty Marion Wood
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1295034684 PECOS PAC ID: 1759549223 Enrollment ID: I20120301000235

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. Kellogg Physical Therapy Inc 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
Kellogg Physical Therapy Inc 740 Mckinley Ave, Kellogg, ID 83837-2693 Ph: (208) 783-3015	Kellogg Physical Therapy Inc 740 Mckinley Ave, Kellogg, ID 83837-2693 Ph: (208) 783-3015

Reviews and Comments

Physical Therapist in Kellogg, ID

Tara Marie Lodi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Kellogg, ID 83837 Phone: 208-784-1625
Rusty M Wood, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 704 Mckinley Avenue, Kellogg, ID 83837 Phone: 208-783-3015
Cory I Lewis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-457-9125
Sheri L. Zumstein, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Kellogg, ID 83837 Phone: 208-784-1610
Lisa Joann Darst, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Mountain Valley Care & Rehabilitation Center, Kellogg, ID 83837 Phone: 208-784-1283 Fax: 208-784-0151

Kellogg Physical Therapy Inc - Medicare Physical Therapist in Kellogg, ID