Kellsey L Rommelfanger, DPT in Lake Villa, IL - Medicare Physical Therapist Provider

Kellsey L Rommelfanger, DPT is a medicare enrolled "Physical Therapist" provider in Lake Villa, Illinois. Her current practice location is 695 Park Ave, Lake Villa, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 368-1776.

Kellsey L Rommelfanger is licensed to practice in Illinois (license number 070.027696) 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 1093173759.

Contact Information

	Kellsey L Rommelfanger, DPT
	695 Park Ave, Lake Villa, IL 60046-6531
	(630) 368-1776
	(773) 967-1112

Map and Direction

Healthcare Provider's Profile

Full Name	Kellsey L Rommelfanger
Gender	Female
Speciality	Physical Therapist
Location	695 Park Ave, Lake Villa, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093173759
Provider Enumeration Date: 02/09/2016
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 1658726815
Enrollment ID: I20231009002984

Medical Identifiers

Medical identifiers for Kellsey L Rommelfanger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093173759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13278 (Wisconsin)	Secondary
225100000X	Physical Therapist	070.027696 (Illinois)	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. Kellsey L Rommelfanger allows following entities to bill medicare on her behalf.

Provider Name	Advocate Health And Hospitals Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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. Kellsey L Rommelfanger 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
Kellsey L Rommelfanger, DPT 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900	Kellsey L Rommelfanger, DPT 695 Park Ave, Lake Villa, IL 60046-6531 Ph: (630) 368-1776

Reviews and Comments

Physical Therapist in Lake Villa, IL

Mrs. Teresa Marie Beckman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 S Milwaukee Ave, Suite 201 Community Rehabilitation, Lake Villa, IL 60046 Phone: 847-265-3491 Fax: 847-265-3498
Rachel Michels, Physical Therapist Medicare: Medicare Enrolled Practice Location: 695 Park Ave, Lake Villa, IL 60046 Phone: 630-368-1776
Amber Gore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 89 Cedar Ave, Lake Villa, IL 60046 Phone: 847-265-7300 Fax: 847-265-7301
Rasheed Mirza Baig, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18808 W Cottage Ave, Lake Villa, IL 60046 Phone: 847-274-8469 Fax: 847-223-4086
Colleen Skotnicki, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23408 W Apollo Ct, Lake Villa, IL 60046 Phone: 847-856-9014
Kalpana Patel, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 695 Park Ave, Lake Villa, IL 60046 Phone: 630-368-1776 Fax: 773-967-1112

Kellsey L Rommelfanger, DPT - Medicare Physical Therapist in Lake Villa, IL