Kent Robert Deardorff, PT, DPT in St Louis Park, MN - Medicare Physical Therapy Provider

Kent Robert Deardorff, PT, DPT is a medicare enrolled "Physical Therapist" provider in St Louis Park, Minnesota. He went to Mayo Medical School and graduated in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Tria Orthopaedic Center Llc and his current practice location is 6901 Meadowbrook Blvd Apt 289, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (480) 510-7804.

Kent Robert Deardorff is licensed to practice in Minnesota (license number 11812) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154945251.

Contact Information

	Kent Robert Deardorff, PT, DPT
	6901 Meadowbrook Blvd Apt 289, St Louis Park, MN 55426-4634
	(480) 510-7804
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kent Robert Deardorff
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	6901 Meadowbrook Blvd Apt 289, St Louis Park, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kent Robert Deardorff attended and graduated from Mayo Medical School in 2020

NPI Data:

NPI Number: 1154945251
Provider Enumeration Date: 06/04/2020
Last Update Date: 06/04/2020

Medicare PECOS Information:

PECOS PAC ID: 8628495223
Enrollment ID: I20200827002076

Medical Identifiers

Medical identifiers for Kent Robert Deardorff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154945251	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11812 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tria Orthopaedic Center Llc	3173570561	362

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. Kent Robert Deardorff allows following entities to bill medicare on his behalf.

Provider Name	Tria Orthopaedic Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417340126 PECOS PAC ID: 5193036432 Enrollment ID: O20150612001586

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. Kent Robert Deardorff 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
Kent Robert Deardorff, PT, DPT 6901 Meadowbrook Blvd Apt 289, St Louis Park, MN 55426-4634 Ph: () -	Kent Robert Deardorff, PT, DPT 6901 Meadowbrook Blvd Apt 289, St Louis Park, MN 55426-4634 Ph: (480) 510-7804

Reviews and Comments

Physical Therapist in St Louis Park, MN

Mary Katherine Kosanda, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6014
Sarah Sween Ramer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426 Phone: 952-993-7169 Fax: 952-993-0300
Jennifer A Deutz, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900
Nicole Williams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3912 Excelsior Blvd, St Louis Park, MN 55416 Phone: 952-835-4512 Fax: 888-425-0398
Angela Marie Johnson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900
Afton Rose Wise, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000
Kathy Ann Kurdelmeier, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5486

Kent Robert Deardorff, PT, DPT - Medicare Physical Therapist in St Louis Park, MN