Kelly Sue Gaygen, PT is a medicare enrolled "Physical Therapist" provider in Gasport, New York. Her current practice location is
8410 Maplewood Drive, Gasport, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 280-1454.
Kelly Sue Gaygen is licensed to practice in New York (license number 008684-1) 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 1730809443.
Healthcare Provider's Profile
Full Name | Kelly Sue Gaygen |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 8410 Maplewood Drive, Gasport, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730809443
- Provider Enumeration Date: 09/01/2022
- Last Update Date: 02/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698134864
- Enrollment ID: I20230706002541
Medical Identifiers
Medical identifiers for Kelly Sue Gaygen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730809443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 008684-1 (New York) | 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 Sue Gaygen allows following entities to bill medicare on her behalf.
Provider Name | Next Step Rehab Solutions Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1356049522 PECOS PAC ID: 6204295512 Enrollment ID: O20230705002217 |
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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 Sue Gaygen 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 Sue Gaygen, PT Po Box 287, Gasport, NY 14067 Ph: (716) 255-6262 | Kelly Sue Gaygen, PT 8410 Maplewood Drive, Gasport, NY 14067-0287 Ph: (716) 280-1454 |
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