Kenzi Ellen Mather, in Manteca, CA - Medicare Physical Therapist Provider

Kenzi Ellen Mather, is a medicare enrolled "Physical Therapist" provider in Manteca, California. Her current practice location is 1721 W Yosemite Ave, Manteca, California. You can reach out to her office (for appointments etc.) via phone at (209) 824-5073.

Kenzi Ellen Mather is licensed to practice in California (license number 294440) 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 1841854189.

Contact Information

	Kenzi Ellen Mather,
	1721 W Yosemite Ave, Manteca, CA 95337-5130
	(209) 824-5073
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenzi Ellen Mather
Gender	Female
Speciality	Physical Therapist
Location	1721 W Yosemite Ave, Manteca, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841854189
Provider Enumeration Date: 04/23/2019
Last Update Date: 03/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6305379769
Enrollment ID: I20241024001426

Medical Identifiers

Medical identifiers for Kenzi Ellen Mather such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841854189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	294440 (California)	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. Kenzi Ellen Mather allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Kenzi Ellen Mather 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
Kenzi Ellen Mather, 1836 Robin Ln, Lodi, CA 95240-7825 Ph: (562) 965-6202	Kenzi Ellen Mather, 1721 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 824-5073

Reviews and Comments

Physical Therapist in Manteca, CA

Alexander Paiz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-825-3700
Victoria Fara Leah Diaz, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2531 Edgebrook Ln, Manteca, CA 95336 Phone: 646-270-1537
April Diamond Witherspoon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 965 E Yosemite Ave, Manteca, CA 95336 Phone: 843-356-2790
Mr. Mark Dejong, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1041 N Main St Ste A, Manteca, CA 95336 Phone: 209-824-9888 Fax: 209-824-9469
Roger Cabo Inciong, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3652 Rapallo Way, Manteca, CA 95337 Phone: 408-656-9834
Kaitlin White, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1519 W Yosemite Ave, Manteca, CA 95337 Phone: 239-784-9354
Kevin Patrick Bergman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1019 S Main St, Manteca, CA 95337 Phone: 209-624-1002 Fax: 209-222-6182

Kenzi Ellen Mather, - Medicare Physical Therapist in Manteca, CA