Kevin J Seaboldt, PT is a medicare enrolled "Physical Therapist" provider in Granite Springs, New York. He went to New York Medical College and graduated in 1999 and has 25 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ivyrehab Physical Therapy Pllc and his current practice location is
2 Raemont Rd, Granite Springs, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 420-8547.
Kevin J Seaboldt is licensed to practice in New York (license number 022951) 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 1134364276.
Healthcare Provider's Profile
| Full Name | Kevin J Seaboldt |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 25 Years |
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| Location | 2 Raemont Rd, Granite Springs, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin J Seaboldt attended and graduated from New York Medical College in 1999
NPI Data:
- NPI Number: 1134364276
- Provider Enumeration Date: 12/03/2008
- Last Update Date: 03/13/2015
Medicare PECOS Information:
- PECOS PAC ID: 1759688245
- Enrollment ID: I20160329000428
Medical Identifiers
Medical identifiers for Kevin J Seaboldt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134364276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 022951 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ivyrehab Physical Therapy Pllc | 7012997638 | 298 |
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 J Seaboldt allows following entities to bill medicare on his behalf.
| Provider Name | Ivyrehab Physical Therapy Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396799409
PECOS PAC ID: 7012997638
Enrollment ID: O20040723000705 |
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| Provider Name | Aon Physical Therapy And Wellness, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1447476577
PECOS PAC ID: 1557456472
Enrollment ID: O20071005000763 |
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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 J Seaboldt 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 J Seaboldt, PT
Po Box 112,
Granite Springs, NY 10527-0112
Ph: (914) 420-8547 | Kevin J Seaboldt, PT
2 Raemont Rd,
Granite Springs, NY 10527-1110
Ph: (914) 420-8547 |
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