Kelsie Church, PT, DPT in Lake Mary, FL - Medicare Physical Therapist Provider

Kelsie Church, PT, DPT is a medicare enrolled "Physical Therapist - Sports" provider in Lake Mary, Florida. Her current practice location is 701 Platinum Pt, Lake Mary, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 338-3161.

Kelsie Church is licensed to practice in * (Not Available) (license number ) 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 1033846241.

Contact Information

	Kelsie Church, PT, DPT
	701 Platinum Pt, Lake Mary, FL 32746-4871
	(407) 338-3161
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsie Church
Gender	Female
Speciality	Physical Therapist - Sports
Location	701 Platinum Pt, Lake Mary, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033846241
Provider Enumeration Date: 08/07/2022
Last Update Date: 08/07/2022

Medicare PECOS Information:

PECOS PAC ID: 1254702004
Enrollment ID: I20230113002540

Medical Identifiers

Medical identifiers for Kelsie Church such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033846241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	(* (Not Available))	Secondary
2251S0007X	Physical Therapist - Sports	(* (Not Available))	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. Kelsie Church allows following entities to bill medicare on her behalf.

Provider Name	Orlando Health Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044

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. Kelsie Church 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
Kelsie Church, PT, DPT 1008 S Mills Ave Apt B, Orlando, FL 32806-1372 Ph: (407) 285-7157	Kelsie Church, PT, DPT 701 Platinum Pt, Lake Mary, FL 32746-4871 Ph: (407) 338-3161

Reviews and Comments

Physical Therapist in Lake Mary, FL

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Kelsie Church, PT, DPT - Medicare Physical Therapist in Lake Mary, FL