Kevin Duane Line, DPT, ATC is a medicare enrolled "Specialist/technologist - Athletic Trainer" provider in Columbus, Nebraska. His current practice location is
3211 25th St, Columbus, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 564-5456.
Kevin Duane Line is licensed to practice in * (Not Available) (license number ) 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 1245849215.
Healthcare Provider's Profile
| Full Name | Kevin Duane Line |
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| Gender | Male |
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| Speciality | Specialist/technologist - Athletic Trainer |
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| Location | 3211 25th St, Columbus, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245849215
- Provider Enumeration Date: 07/27/2020
- Last Update Date: 08/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072052596
- Enrollment ID: I20240828004291
Medical Identifiers
Medical identifiers for Kevin Duane Line such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245849215 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 4690 (Nebraska) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (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. Kevin Duane Line allows following entities to bill medicare on his behalf.
| Provider Name | Columbus Physical Therapy, P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1255436374
PECOS PAC ID: 3274589338
Enrollment ID: O20050322001212 |
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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. Kevin Duane Line 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 |
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Kevin Duane Line, DPT, ATC
3211 25th St,
Columbus, NE 68601-2473
Ph: (402) 564-5456 | Kevin Duane Line, DPT, ATC
3211 25th St,
Columbus, NE 68601-2473
Ph: (402) 564-5456 |
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