Kelly Marie Diehl, DPT in La Crosse, WI - Medicare Physical Therapist Provider

Kelly Marie Diehl, DPT is a medicare enrolled "Physical Therapist" provider in La Crosse, Wisconsin. Her current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 782-7300.

Kelly Marie Diehl is licensed to practice in Wisconsin (license number 12657) 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 1649683004.

Contact Information

	Kelly Marie Diehl, DPT
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Marie Diehl
Gender	Female
Speciality	Physical Therapist
Location	1836 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649683004
Provider Enumeration Date: 06/03/2014
Last Update Date: 08/06/2021

Medicare PECOS Information:

PECOS PAC ID: 5698993475
Enrollment ID: I20210819000890

Medical Identifiers

Medical identifiers for Kelly Marie Diehl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649683004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTP-PT-LIC-7501 (Montana)	Secondary
225100000X	Physical Therapist	12657 (Wisconsin)	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. Kelly Marie Diehl allows following entities to bill medicare on her behalf.

Provider Name	Gundersen Clinic Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139

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. Kelly Marie Diehl 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
Kelly Marie Diehl, DPT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Kelly Marie Diehl, DPT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Physical Therapist in La Crosse, WI

Thomas S Holland, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Hanni R Cowley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940
Amy Ruth Juel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Dr. John Frederick Greany, PT, PHD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Park Lane Dr, La Crosse, WI 54601 Phone: 608-519-9373 Fax: 608-790-9477
Julie A. Olson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940
Charlene M Deters, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Samuel Wenzlaff, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300

Kelly Marie Diehl, DPT - Medicare Physical Therapist in La Crosse, WI