Kristen Michelle Henneman, PT in Woodbury, MN - Medicare Physical Therapist Provider

Kristen Michelle Henneman, PT is a medicare enrolled "Physical Therapist" provider in Woodbury, Minnesota. Her current practice location is 1625 Radio Drive, Suite 220, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 241-3626.

Kristen Michelle Henneman is licensed to practice in Minnesota (license number 7440) 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 1760650113.

Contact Information

	Kristen Michelle Henneman, PT
	1625 Radio Drive, Suite 220, Woodbury, MN 55125
	(651) 241-3626
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristen Michelle Henneman
Gender	Female
Speciality	Physical Therapist
Location	1625 Radio Drive, Woodbury, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760650113
Provider Enumeration Date: 02/19/2008
Last Update Date: 07/31/2018

Medicare PECOS Information:

PECOS PAC ID: 8628449022
Enrollment ID: I20230123001592

Medical Identifiers

Medical identifiers for Kristen Michelle Henneman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760650113	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	7440 (Minnesota)	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. Kristen Michelle Henneman allows following entities to bill medicare on her behalf.

Provider Name	Tria Orthopaedic Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999

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. Kristen Michelle Henneman 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
Kristen Michelle Henneman, PT 1625 Radio Drive, Suite 220, Woodbury, MN 55125-5308 Ph: (651) 241-3626	Kristen Michelle Henneman, PT 1625 Radio Drive, Suite 220, Woodbury, MN 55125 Ph: (651) 241-3626

Reviews and Comments

Physical Therapist in Woodbury, MN

Mrs. Andrea J Hermann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1625 Radio Dr, Suite 220, Woodbury, MN 55125 Phone: 651-241-3636 Fax: 651-241-3646
Bradley Leafblad, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 Radio Dr, # 120, Woodbury, MN 55125 Phone: 651-735-6100 Fax: 651-735-6106
Ms. Mary Kathleen Delacy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6025 Lake Rd, Woodbury, MN 55125 Phone: 612-439-4222 Fax: 651-730-1979
Eric Lee Kaufmann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 155 Radio Dr, Woodbury, MN 55125 Phone: 952-831-8742
Anne Marie Gabriel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1625 Radio Dr, Suite 220, Woodbury, MN 55125 Phone: 651-241-3636
Dr. Ariana Diane Lopez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1625 Radio Dr Ste 220, Woodbury, MN 55125 Phone: 651-241-3636
Dr. Ana Schaff, PT, DPT, GCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7555 Bailey Rd, Woodbury, MN 55129 Phone: 651-209-9170

Kristen Michelle Henneman, PT - Medicare Physical Therapist in Woodbury, MN