Kent Worrell Malcomson, PT - Medicare Physical Therapist in Minneapolis, MN

Kent Worrell Malcomson, PT is a medicare enrolled "Physical Therapist" provider in Minneapolis, Minnesota. His current practice location is 2450 Riverside Ave, Suite R102, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 273-9400.

Kent Worrell Malcomson is licensed to practice in Minnesota (license number 2414) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225133887.

Contact Information

Kent Worrell Malcomson, PT
2450 Riverside Ave, Suite R102,
Minneapolis, MN 55454-1450
(612) 273-9400
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKent Worrell Malcomson
GenderMale
SpecialityPhysical Therapist
Location2450 Riverside Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225133887
  • Provider Enumeration Date: 09/14/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5991705451
  • Enrollment ID: I20070105000409

Medical Identifiers

Medical identifiers for Kent Worrell Malcomson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225133887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2414 (Minnesota)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. Kent Worrell Malcomson allows following entities to bill medicare on his behalf.
Provider NameFairview Health Services
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461

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 Worrell Malcomson 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 AddressPractice Location Address
Kent Worrell Malcomson, PT
3320 Yosemite Ave S,
St Louis Park, MN 55416-2142

Ph: () -
Kent Worrell Malcomson, PT
2450 Riverside Ave, Suite R102,
Minneapolis, MN 55454-1450

Ph: (612) 273-9400

Reviews and Comments


Physical Therapist in Minneapolis, MN

Mrs. Allison Lydia Dahl, D.P.T
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.