Kimberly L Bakker, DPT in Gallup, NM - Medicare Physical Therapist Provider

Kimberly L Bakker, DPT is a medicare enrolled "Physical Therapist" provider in Gallup, New Mexico. Her current practice location is 510 W Maloney Ave Ste C, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 488-2615.

Kimberly L Bakker is licensed to practice in * (Not Available) (license number ) 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 1750904074.

Contact Information

	Kimberly L Bakker, DPT
	510 W Maloney Ave Ste C, Gallup, NM 87301-5489
	(505) 488-2615
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly L Bakker
Gender	Female
Speciality	Physical Therapist
Location	510 W Maloney Ave Ste C, Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750904074
Provider Enumeration Date: 05/20/2020
Last Update Date: 05/20/2020

Medicare PECOS Information:

PECOS PAC ID: 8224450663
Enrollment ID: I20220831002978

Medical Identifiers

Medical identifiers for Kimberly L Bakker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750904074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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 L Bakker allows following entities to bill medicare on her behalf.

Provider Name	Kitsap Physical Therapy And Sports Clinic Ps Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912902347 PECOS PAC ID: 6507762333 Enrollment ID: O20031211000242

Provider Name	Grays Harbor Community Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154378859 PECOS PAC ID: 3577462365 Enrollment ID: O20031231000081

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 L Bakker 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 L Bakker, DPT 1334 S Division St Apt 4, Moses Lake, WA 98837-2498 Ph: (509) 793-4386	Kimberly L Bakker, DPT 510 W Maloney Ave Ste C, Gallup, NM 87301-5489 Ph: (505) 488-2615

Reviews and Comments

Physical Therapist in Gallup, NM

Shantel Blume, DPT, CLT Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Nancy Canto, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1800 Fax: 505-721-1899
Christine Sanchez, Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Natasha Hite, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 W Maloney Ave, Gallup, NM 87301 Phone: 505-488-2615
Maya Rose Bernadett-peters, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Mrs. Liberty Javenia Ang, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1839
Lynn Torres, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 Boardman Dr, Gallup, NM 87301 Phone: 505-722-9188 Fax: 505-926-0910

Kimberly L Bakker, DPT - Medicare Physical Therapist in Gallup, NM