Khampasong Haleudeth, in Medford, MA - Medicare Physical Therapy Provider

Khampasong Haleudeth, is a medicare enrolled "Physical Therapist" provider in Medford, Massachusetts. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Boston Physical Therapy And Wellness, Inc., Massachusetts Luna Care Physical Therapy Llc and his current practice location is 275 Mystic Ave Ste C, Medford, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 874-9294.

Khampasong Haleudeth is licensed to practice in Massachusetts (license number 25676) 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 1992475081.

Contact Information

	Khampasong Haleudeth,
	275 Mystic Ave Ste C, Medford, MA 02155-6301
	(781) 874-9294
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Khampasong Haleudeth
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	275 Mystic Ave Ste C, Medford, Massachusetts
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:

Khampasong Haleudeth graduated from medical school in 2021

NPI Data:

NPI Number: 1992475081
Provider Enumeration Date: 09/20/2021
Last Update Date: 09/20/2021

Medicare PECOS Information:

PECOS PAC ID: 0042617573
Enrollment ID: I20210924002260

Medical Identifiers

Medical identifiers for Khampasong Haleudeth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992475081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	25676 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boston Physical Therapy And Wellness, Inc.	8123345139	13
Massachusetts Luna Care Physical Therapy Llc	8628468998	16

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. Khampasong Haleudeth allows following entities to bill medicare on his behalf.

Provider Name	Boston Physical Therapy & Wellness, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114315579 PECOS PAC ID: 8123345139 Enrollment ID: O20150331001182

Provider Name	Massachusetts Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1427713742 PECOS PAC ID: 8628468998 Enrollment ID: O20211130001099

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. Khampasong Haleudeth 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
Khampasong Haleudeth, 275 Mystic Ave Ste C, Medford, MA 02155-6301 Ph: () -	Khampasong Haleudeth, 275 Mystic Ave Ste C, Medford, MA 02155-6301 Ph: (781) 874-9294

Reviews and Comments

Physical Therapist in Medford, MA

Christopher Herbs, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 275 Mystic Ave Ste C, Medford, MA 02155 Phone: 178-187-4929
Mrs. Marianne Rose Giurleo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Robinson Rd, Medford, MA 02155 Phone: 781-395-3832
Boston Physical Therapy & Wellness, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 Mystic Ave, Ste. C, Medford, MA 02155 Phone: 781-572-2965
Ms. Jessica Harney, DPT, OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 170 Governors Ave, Medford, MA 02155 Phone: 781-395-7750 Fax: 781-395-5343
Dr. Katie Cunningham, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Governors Ave, Medford, MA 02155 Phone: 781-391-5400
Mrs. Astrid Eva Rothmund Lewis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26 Jerome St, Medford, MA 02155 Phone: 617-290-2711 Fax: 781-646-1090
Mrs. Kathleen F Gunnery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 170 Governors Ave, Medford, MA 02155 Phone: 781-306-6950

Khampasong Haleudeth, - Medicare Physical Therapist in Medford, MA