Kimberly Nicole Ristau, PT, DPT in Fluvanna, NY - Medicare Physical Therapist Provider

Kimberly Nicole Ristau, PT, DPT is a medicare enrolled "Physical Therapist" provider in Fluvanna, New York. Her current practice location is 3266 Fluvanna Avenue Ext, Fluvanna, New York. You can reach out to her office (for appointments etc.) via phone at (814) 688-6119.

Kimberly Nicole Ristau is licensed to practice in New York (license number 031194) 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 1548400732.

Contact Information

	Kimberly Nicole Ristau, PT, DPT
	3266 Fluvanna Avenue Ext, Fluvanna, NY 14701-9706
	(814) 688-6119
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Nicole Ristau
Gender	Female
Speciality	Physical Therapist
Location	3266 Fluvanna Avenue Ext, Fluvanna, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548400732
Provider Enumeration Date: 02/27/2009
Last Update Date: 05/19/2022

Medicare PECOS Information:

PECOS PAC ID: 3072662303
Enrollment ID: I20090518000001

Medical Identifiers

Medical identifiers for Kimberly Nicole Ristau such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548400732	NPI	-	NPPES
03100832	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305209156 (Virginia)	Secondary
225100000X	Physical Therapist	019695 (Pennsylvania)	Secondary
225100000X	Physical Therapist	031194 (New York)	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 Nicole Ristau allows following entities to bill medicare on her behalf.

Provider Name	Health Aquatic Wellness Of Chautauqua Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1144980962 PECOS PAC ID: 3971999814 Enrollment ID: O20220401001797

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 Nicole Ristau 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 Nicole Ristau, PT, DPT 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701-9706 Ph: (814) 688-6119	Kimberly Nicole Ristau, PT, DPT 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701-9706 Ph: (814) 688-6119

Reviews and Comments

Physical Therapist in Fluvanna, NY

Health Aquatic Wellness Of Chautauqua Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701 Phone: 716-708-6179 Fax: 716-463-2228
Wayne E Quattrone Ii, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701 Phone: 716-720-1896
Dr. Adam Michael Pangborn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701 Phone: 716-708-6179
Candace Marie Brown, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701 Phone: 716-708-6179

Kimberly Nicole Ristau, PT, DPT - Medicare Physical Therapist in Fluvanna, NY