Kimberly Melissa Klitzke, MPT is a medicare enrolled "Physical Therapist" provider in Oxford, Wisconsin. Her current practice location is
N4390 Crossroads Clinic Rd, Oxford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 589-5333.
Kimberly Melissa Klitzke is licensed to practice in Wisconsin (license number 10065-024) 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 1437343118.
Healthcare Provider's Profile
| Full Name | Kimberly Melissa Klitzke |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | N4390 Crossroads Clinic Rd, Oxford, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437343118
- Provider Enumeration Date: 09/05/2007
- Last Update Date: 04/07/2015
Medicare PECOS Information:
- PECOS PAC ID: 9638136229
- Enrollment ID: I20041215000545
Medical Identifiers
Medical identifiers for Kimberly Melissa Klitzke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437343118 | NPI | - | NPPES |
| 10065-024 | Other | WI | STATE PT LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 10065-024 (Wisconsin) | 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 Melissa Klitzke allows following entities to bill medicare on her behalf.
| Provider Name | Divine Savior Healthcare Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909 |
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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 Melissa Klitzke 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 |
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Kimberly Melissa Klitzke, MPT
N4390 Crossroads Clinic Rd,
Oxford, WI 53952-9465
Ph: (608) 589-5333 | Kimberly Melissa Klitzke, MPT
N4390 Crossroads Clinic Rd,
Oxford, WI 53952
Ph: (608) 589-5333 |
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