Kelly Stockdale-nielsen, PT in Des Moines, WA - Medicare Physical Therapist Provider

Kelly Stockdale-nielsen, PT is a medicare enrolled "Physical Therapist" provider in Des Moines, Washington. Her current practice location is 27005 Pacific Hwy S, Des Moines, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 839-9280.

Kelly Stockdale-nielsen is licensed to practice in Washington (license number PT5153) 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 1568562650.

Contact Information

	Kelly Stockdale-nielsen, PT
	27005 Pacific Hwy S, Des Moines, WA 98198-9250
	(253) 839-9280
	(253) 839-9375

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Stockdale-nielsen
Gender	Female
Speciality	Physical Therapist
Location	27005 Pacific Hwy S, Des Moines, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568562650
Provider Enumeration Date: 09/25/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 5597155630
Enrollment ID: I20211206000565

Medical Identifiers

Medical identifiers for Kelly Stockdale-nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568562650	NPI	-	NPPES
8335937	Medicaid	WA
48583	Other	WA	LABOR & INDUSTRIES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT5153 (Washington)	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 Stockdale-nielsen allows following entities to bill medicare on her behalf.

Provider Name	Physiotherapy Associates Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1497211049 PECOS PAC ID: 3577470442 Enrollment ID: O20190416001553

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 Stockdale-nielsen 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 Stockdale-nielsen, PT 27005 Pacific Hwy S, Des Moines, WA 98198-9250 Ph: (253) 839-9280	Kelly Stockdale-nielsen, PT 27005 Pacific Hwy S, Des Moines, WA 98198-9250 Ph: (253) 839-9280

Reviews and Comments

Physical Therapist in Des Moines, WA

Michele D Jackson, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 27005 Pacific Hwy S, Des Moines, WA 98198 Phone: 253-839-9280
Mrs. Irish Pediangco Dela Paz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2800 S 224th St, Des Moines, WA 98198 Phone: 206-824-0600
Dr. Marina Leigh Briscoe, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22659 Pacific Hwy S, Suite 201, Des Moines, WA 98198 Phone: 206-824-3668 Fax: 206-824-3964
Steven G Wittrock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22659 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-824-3668 Fax: 206-824-3964
Mrs. Laney Virginia O'neill, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22659 Pacific Hwy S, Suite 201, Des Moines, WA 98198 Phone: 206-824-3668 Fax: 206-824-3964
Ellen Murphy, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 27005 Pacific Hwy S, Des Moines, WA 98198 Phone: 253-839-9280 Fax: 253-839-9375
Carol Walter, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27005 Pacific Hwy S, Des Moines, WA 98198 Phone: 253-839-9280 Fax: 253-839-9375

Kelly Stockdale-nielsen, PT - Medicare Physical Therapist in Des Moines, WA