Ketaki Mehendale, in Waukegan, IL - Medicare Physical Therapist Provider

Ketaki Mehendale, is a medicare enrolled "Physical Therapist" provider in Waukegan, Illinois. Her current practice location is 967 N Green Bay Rd, Waukegan, Illinois. You can reach out to her office (for appointments etc.) via phone at (224) 321-5237.

Ketaki Mehendale 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 1821845975.

Contact Information

	Ketaki Mehendale,
	967 N Green Bay Rd, Waukegan, IL 60085-2259
	(224) 321-5237
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ketaki Mehendale
Gender	Female
Speciality	Physical Therapist
Location	967 N Green Bay Rd, Waukegan, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821845975
Provider Enumeration Date: 05/06/2024
Last Update Date: 05/06/2024

Medicare PECOS Information:

PECOS PAC ID: 9436591419
Enrollment ID: I20240522000942

Medical Identifiers

Medical identifiers for Ketaki Mehendale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821845975	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (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. Ketaki Mehendale allows following entities to bill medicare on her behalf.

Provider Name	Athletic And Therapeutic Institute Of Bourbonnais, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220

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. Ketaki Mehendale 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
Ketaki Mehendale, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206	Ketaki Mehendale, 967 N Green Bay Rd, Waukegan, IL 60085-2259 Ph: (224) 321-5237

Reviews and Comments

Physical Therapist in Waukegan, IL

Accelerated Rehabilitation Center Of Kenosha Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2674 Washington St, Waukegan, IL 60085 Phone: 847-336-8089 Fax: 847-336-8079
Lovely Dawn Lustre Besario, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2222 14th St, Waukegan, IL 60085 Phone: 847-249-2400
Kimberly M. Schmitt, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2674 Washington St, Waukegan, IL 60085 Phone: 847-336-8089 Fax: 847-336-8079
Dr. Angel Figueroa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2674 Washington St, Waukegan, IL 60085 Phone: 847-336-8089 Fax: 847-336-8079
Kathleen Konjura, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1200 N Green Bay Rd, Waukegan, IL 60085 Phone: 847-662-1968 Fax: 847-249-8218
Dr. Adegboyega Bamidele, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1405 North Ave, Waukegan, IL 60085 Phone: 773-931-9206
Mr. Ferdinand Bundang, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 N Ashley Ln, Waukegan, IL 60085 Phone: 847-263-5779

Ketaki Mehendale, - Medicare Physical Therapist in Waukegan, IL