Kyle Mckibben, in Germantown, WI - Medicare Physical Therapist Provider

Kyle Mckibben, is a medicare enrolled "Physical Therapist" provider in Germantown, Wisconsin. His current practice location is W173n10915 Bernies Way, Germantown, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 509-3300.

Kyle Mckibben is licensed to practice in Wisconsin (license number 15103-24) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245844711.

Contact Information

	Kyle Mckibben,
	W173n10915 Bernies Way, Germantown, WI 53022-4043
	(262) 509-3300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Mckibben
Gender	Male
Speciality	Physical Therapist
Location	W173n10915 Bernies Way, Germantown, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245844711
Provider Enumeration Date: 09/02/2020
Last Update Date: 09/02/2020

Medicare PECOS Information:

PECOS PAC ID: 3072924075
Enrollment ID: I20201124000203

Medical Identifiers

Medical identifiers for Kyle Mckibben such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245844711	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15103-24 (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. Kyle Mckibben allows following entities to bill medicare on his behalf.

Provider Name	Kujawa Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1730707845 PECOS PAC ID: 0143647792 Enrollment ID: O20200828000081

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. Kyle Mckibben 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
Kyle Mckibben, 924 E Juneau Ave Apt 817, Milwaukee, WI 53202-2748 Ph: (513) 324-4122	Kyle Mckibben, W173n10915 Bernies Way, Germantown, WI 53022-4043 Ph: (262) 509-3300

Reviews and Comments

Physical Therapist in Germantown, WI

Troy A Hurst, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N112w17975 Mequon Rd, Germantown, WI 53022 Phone: 262-532-7600
Rebecca Schwer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: N112w17975 Mequon Rd, Germantown, WI 53022 Phone: 262-532-7680
Brandon Goesch, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W173n10915 Bernies Way, Germantown, WI 53022 Phone: 262-509-3300
Kira L Mcdonald, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: N112w17975 Mequon Rd, Germantown, WI 53022 Phone: 262-532-7600
Preceptor Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: W175n11117 Stonewood Dr Ste 100, Germantown, WI 53022 Phone: 208-401-1369
Presbyterian Homes And Services Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N112w17500 Mequon Rd, Germantown, WI 53022 Phone: 651-631-6570
Easy Living Therapy & Wellness, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W175n11117 Stonewood Dr, Suite 100, Germantown, WI 53022 Phone: 262-293-3951 Fax: 262-345-5162

Kyle Mckibben, - Medicare Physical Therapist in Germantown, WI