Kimberly-kay Audra Wynn, PT in Locust Grove, VA - Medicare Physical Therapist Provider

Kimberly-kay Audra Wynn, PT is a medicare enrolled "Physical Therapist" provider in Locust Grove, Virginia. Her current practice location is 2607 Lakeview Pkwy, Locust Grove, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 308-3357.

Kimberly-kay Audra Wynn is licensed to practice in Virginia (license number 2305203537) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487277612.

Contact Information

	Kimberly-kay Audra Wynn, PT
	2607 Lakeview Pkwy, Locust Grove, VA 22508-5726
	(540) 308-3357
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly-kay Audra Wynn
Gender	Female
Speciality	Physical Therapist
Location	2607 Lakeview Pkwy, Locust Grove, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487277612
Provider Enumeration Date: 05/21/2020
Last Update Date: 05/21/2020

Medicare PECOS Information:

PECOS PAC ID: 1153767645
Enrollment ID: I20240306003457

Medical Identifiers

Medical identifiers for Kimberly-kay Audra Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487277612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305203537 (Virginia)	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. Kimberly-kay Audra Wynn allows following entities to bill medicare on her behalf.

Provider Name	Premier Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891817938 PECOS PAC ID: 2860599214 Enrollment ID: O20070518000177

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. Kimberly-kay Audra Wynn 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
Kimberly-kay Audra Wynn, PT 2607 Lakeview Pkwy, Locust Grove, VA 22508-5726 Ph: (540) 308-3357	Kimberly-kay Audra Wynn, PT 2607 Lakeview Pkwy, Locust Grove, VA 22508-5726 Ph: (540) 308-3357

Reviews and Comments

Physical Therapist in Locust Grove, VA

Christina Berben, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5477 Germanna Hwy, Locust Grove, VA 22508 Phone: 540-972-9610 Fax: 540-972-9516
Sports Enhancement Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2607 Lakeview Pkwy, Locust Grove, VA 22508 Phone: 540-308-3357
Ms. Jill Marie Hennes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5477 Germanna Hwy, Locust Grove, VA 22508 Phone: 540-972-9610 Fax: 540-972-9516

Kimberly-kay Audra Wynn, PT - Medicare Physical Therapist in Locust Grove, VA