Kennedy Williams, in Boise, ID - Medicare Physical Therapist Provider

Kennedy Williams, is a medicare enrolled "Physical Therapist" provider in Boise, Idaho. Her current practice location is 7219 W Potomac Dr, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 908-8540.

Kennedy Williams is licensed to practice in Idaho (license number PT-8919) 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 1689393787.

Contact Information

	Kennedy Williams,
	7219 W Potomac Dr, Boise, ID 83704-9182
	(208) 908-8540
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kennedy Williams
Gender	Female
Speciality	Physical Therapist
Location	7219 W Potomac Dr, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689393787
Provider Enumeration Date: 08/23/2022
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 1355791476
Enrollment ID: I20240102000713

Medical Identifiers

Medical identifiers for Kennedy Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689393787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT016185 (Georgia)	Secondary
225100000X	Physical Therapist	PT-8919 (Idaho)	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. Kennedy Williams allows following entities to bill medicare on her behalf.

Provider Name	Scolispine Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1285142323 PECOS PAC ID: 3779956503 Enrollment ID: O20230227001028

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. Kennedy Williams 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
Kennedy Williams, 4704 W Camas St, Boise, ID 83705-5833 Ph: (253) 359-3263	Kennedy Williams, 7219 W Potomac Dr, Boise, ID 83704-9182 Ph: (208) 908-8540

Reviews and Comments

Physical Therapist in Boise, ID

Mrs. Dianne Denise Nelson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 Allumbaugh St, Boise, ID 83704 Phone: 208-854-8517
Peter H Kolb, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 N Curtis Rd Ste 204, Boise, ID 83706 Phone: 208-367-3315 Fax: 208-367-2674
Melissa Pirtle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 S Americana Blvd, Suite 130, Boise, ID 83702 Phone: 208-706-7530 Fax: 208-706-7531
Kyle Aaron Holbrook, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N Robbins Rd, Boise, ID 83702 Phone: 208-489-4444
Rebecca Wensel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2138
Bridget Gilbertson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2931 N Maywood Ave, Boise, ID 83704 Phone: 385-498-1740
Idaho Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1175 E Parkcenter Blvd, Ste 101, Boise, ID 83706 Phone: 208-367-1010

Kennedy Williams, - Medicare Physical Therapist in Boise, ID