Mr Kristopher Ryan Gordon, DPT in Saint Louis, MO - Medicare Physical Therapy Provider

Mr Kristopher Ryan Gordon, DPT is a medicare enrolled "Physical Therapist" provider in Saint Louis, Missouri. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Washington University and his current practice location is 4240 Duncan Ave, Dept Physical Therapy, Ste 120, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 286-1940.

Mr Kristopher Ryan Gordon is licensed to practice in Missouri (license number 2014023754) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295138774.

Contact Information

	Mr Kristopher Ryan Gordon, DPT
	4240 Duncan Ave, Dept Physical Therapy, Ste 120, Saint Louis, MO 63110-1101
	(314) 286-1940
	(314) 286-1473

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kristopher Ryan Gordon
Gender	Male
Speciality	Physical Therapy
Experience	10 Years
Location	4240 Duncan Ave, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kristopher Ryan Gordon graduated from medical school in 2014

NPI Data:

NPI Number: 1295138774
Provider Enumeration Date: 09/29/2014
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 1355663394
Enrollment ID: I20141203000373

Medical Identifiers

Medical identifiers for Mr Kristopher Ryan Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295138774	NPI	-	NPPES
480075880	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2014023754 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington University	9830008770	2516

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. Mr Kristopher Ryan Gordon allows following entities to bill medicare on his behalf.

Provider Name	Washington University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922048420 PECOS PAC ID: 9830008770 Enrollment ID: O20040226000756

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. Mr Kristopher Ryan Gordon 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
Mr Kristopher Ryan Gordon, DPT Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 286-1940	Mr Kristopher Ryan Gordon, DPT 4240 Duncan Ave, Dept Physical Therapy, Ste 120, Saint Louis, MO 63110-1101 Ph: (314) 286-1940

Reviews and Comments

Physical Therapist in Saint Louis, MO

Brittany Marie Burchett, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3625 Magnolia Ave, Saint Louis, MO 63110 Phone: 314-771-2990
Ms. Martha J Rubinelli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7733 Forsyth Blvd, Suite 1700, Saint Louis, MO 63105 Phone: 314-863-7422
Hilde Anne Maagad, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5460 Delmar Blvd, Saint Louis, MO 63112 Phone: 314-361-2908
Dr. Lexi Kathleen Wisch, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 Holly Hills Ave, Saint Louis, MO 63111 Phone: 314-353-5190 Fax: 314-353-7631
Dr. Danielle Buchanan Ivie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108 Phone: 314-286-1940 Fax: 314-286-1473
Rehab Dynamics, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10435 Clayton Rd, Suite 10, Saint Louis, MO 63131 Phone: 314-442-6249 Fax: 314-787-5949
Juliet Hereford, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7508 Big Bend Blvd, Saint Louis, MO 63119 Phone: 314-647-4880 Fax: 314-647-1964

Mr Kristopher Ryan Gordon, DPT - Medicare Physical Therapist in Saint Louis, MO