Kidability Physical Therapy, Llc - Medicare Physical Therapist in Big Lake, AK

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Kidability Physical Therapy, Llc is a medicare enrolled "Physical Therapist - Pediatrics" provider in Big Lake, Alaska. Their current practice location is 6406 S. Gonder Road, Big Lake, Alaska. You can reach out to their office (for appointments etc.) via phone at (907) 230-0402.

Kidability Physical Therapy, Llc is licensed to practice in Alaska (license number PT1159) and it also participates in the medicare program. Kidability Physical Therapy, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1891034575.

Contact Information

Kidability Physical Therapy, Llc
6406 S. Gonder Road,
Big Lake, AK 99652
(907) 230-0402
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKidability Physical Therapy, Llc
TypeFacility
SpecialityPhysical Therapist - Pediatrics
Location6406 S. Gonder Road, Big Lake, Alaska
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891034575
  • Provider Enumeration Date: 01/31/2013
  • Last Update Date: 01/31/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9638405111
  • Enrollment ID: O20190722000858

Medical Identifiers

Medical identifiers for Kidability Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891034575NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251P0200XPhysical Therapist - Pediatrics PT1159 (Alaska)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kidability Physical Therapy, Llc acts as a billing entity for following providers:
Provider NameKristin M Bacon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679618144
PECOS PAC ID: 0547596025
Enrollment ID: I20190722000947

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. Kidability Physical Therapy, Llc 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 AddressPractice Location Address
Kidability Physical Therapy, Llc
Po Box 521504,
Big Lake, AK 99652-1504

Ph: () -		Kidability Physical Therapy, Llc
6406 S. Gonder Road,
Big Lake, AK 99652

Ph: (907) 230-0402

Reviews and Comments


Physical Therapist in Big Lake, AK


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