Kevin Thomas White, MPT in Petaluma, CA - Medicare Physical Therapy Provider

Kevin Thomas White, MPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Petaluma, California. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Koda Physical Therapy And Sports Performance and his current practice location is 169 Lynch Creek Way, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (707) 763-0115.

Kevin Thomas White is licensed to practice in California (license number PT18789) 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 1245310549.

Contact Information

	Kevin Thomas White, MPT
	169 Lynch Creek Way, Petaluma, CA 94954-2344
	(707) 763-0115
	(707) 763-2130

Map and Direction

Healthcare Provider's Profile

Full Name	Kevin Thomas White
Gender	Male
Speciality	Physical Therapy
Experience	32 Years
Location	169 Lynch Creek Way, Petaluma, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kevin Thomas White graduated from medical school in 1992

NPI Data:

NPI Number: 1245310549
Provider Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8820159502
Enrollment ID: I20081213000085

Medical Identifiers

Medical identifiers for Kevin Thomas White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245310549	NPI	-	NPPES
PT18789	Other	CA	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT18789 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Koda Physical Therapy And Sports Performance	6103102884	4

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 Thomas White allows following entities to bill medicare on his behalf.

Provider Name	Patricia D Martinez
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1326180175 PECOS PAC ID: 2264325927 Enrollment ID: I20040209001298

Provider Name	Koda Physical Therapy And Sports Performance
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1356797542 PECOS PAC ID: 6103102884 Enrollment ID: O20170412000160

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 Thomas White 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
Kevin Thomas White, MPT 2 Hilligoss Ct, Petaluma, CA 94952-5742 Ph: (707) 766-8109	Kevin Thomas White, MPT 169 Lynch Creek Way, Petaluma, CA 94954-2344 Ph: (707) 763-0115

Reviews and Comments

Physical Therapist in Petaluma, CA

Next Level Physical Therapy Performance And Fitness Physical Therapist Medicare: Medicare Enrolled Practice Location: 719 Southpoint Blvd, Suite A, Petaluma, CA 94954 Phone: 707-781-8062 Fax: 707-981-8684
Mrs. Jacqueline Michelle Quinn, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 169 Lynch Creek Way, Petaluma, CA 94954 Phone: 707-763-0115
Ms. Lory M Teicheira, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 306 Bassett St, Petaluma, CA 94952 Phone: 707-769-0915 Fax: 707-769-9244
Ms. Lydia E Estevez, P,T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3628
Michelle Garcia, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 B St, Petaluma, CA 94952 Phone: 707-765-3030
Christine O'meara, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1712 Chehalis Dr, Petaluma, CA 94954 Phone: 707-849-9310
Corriene Atup, BSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1108 Ponderosa Dr, Petaluma, CA 94954 Phone: 415-420-9185

Kevin Thomas White, MPT - Medicare Physical Therapist in Petaluma, CA