Kelsey Marie Lavaute, DPT in Portland, OR - Medicare Physical Therapy Provider

Kelsey Marie Lavaute, DPT is a medicare enrolled "Physical Therapist" provider in Portland, Oregon. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice The Vancouver Clinic Inc Ps and her current practice location is 11782 Sw Barnes Rd Ste 300, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 214-5200.

Kelsey Marie Lavaute is licensed to practice in Washington (license number PT61188988) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164037065.

Contact Information

	Kelsey Marie Lavaute, DPT
	11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933
	(503) 214-5200
	(503) 906-6613

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Marie Lavaute
Gender	Female
Speciality	Physical Therapy
Experience	4 Years
Location	11782 Sw Barnes Rd Ste 300, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelsey Marie Lavaute graduated from medical school in 2020

NPI Data:

NPI Number: 1164037065
Provider Enumeration Date: 09/09/2020
Last Update Date: 06/16/2021

Medicare PECOS Information:

PECOS PAC ID: 6002235165
Enrollment ID: I20210521001634

Medical Identifiers

Medical identifiers for Kelsey Marie Lavaute such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164037065	NPI	-	NPPES
500784275	Medicaid	OR
63665	Other	OR	PT LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	63665 (Oregon)	Secondary
225100000X	Physical Therapist	PT61188988 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Vancouver Clinic Inc Ps	3173436490	471

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. Kelsey Marie Lavaute allows following entities to bill medicare on her behalf.

Provider Name	The Vancouver Clinic Inc Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793

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. Kelsey Marie Lavaute 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
Kelsey Marie Lavaute, DPT Po Box 4825, Portland, OR 97208-4825 Ph: (360) 882-2778	Kelsey Marie Lavaute, DPT 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 Ph: (503) 214-5200

Reviews and Comments

Physical Therapist in Portland, OR

Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500

Kelsey Marie Lavaute, DPT - Medicare Physical Therapist in Portland, OR