Kyle Ryan Fornoff, DPT in Gothenburg, NE - Medicare Physical Therapy Provider

Kyle Ryan Fornoff, DPT is a medicare enrolled "Physical Therapist" provider in Gothenburg, Nebraska. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Team Physical Therapy Pc and his current practice location is 523 10th St, Gothenburg, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 537-3600.

Kyle Ryan Fornoff is licensed to practice in Nebraska (license number 3212) 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 1679910855.

Contact Information

	Kyle Ryan Fornoff, DPT
	523 10th St, Gothenburg, NE 69138-1925
	(308) 537-3600
	(308) 537-3601

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Ryan Fornoff
Gender	Male
Speciality	Physical Therapy
Experience	11 Years
Location	523 10th St, Gothenburg, Nebraska
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:

Kyle Ryan Fornoff graduated from medical school in 2013

NPI Data:

NPI Number: 1679910855
Provider Enumeration Date: 05/29/2013
Last Update Date: 04/21/2017

Medicare PECOS Information:

PECOS PAC ID: 8729221023
Enrollment ID: I20130906000160

Medical Identifiers

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

Identifier	Type	State	Issuer
1679910855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3212 (Nebraska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Team Physical Therapy Pc	5991759540	13

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 Ryan Fornoff allows following entities to bill medicare on his behalf.

Provider Name	Team Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578595625 PECOS PAC ID: 5991759540 Enrollment ID: O20050308000374

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 Ryan Fornoff 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 Ryan Fornoff, DPT 325 S 1st Ave, P.o. Box 435, Broken Bow, NE 68822-2213 Ph: (308) 872-5111	Kyle Ryan Fornoff, DPT 523 10th St, Gothenburg, NE 69138-1925 Ph: (308) 537-3600

Reviews and Comments

Physical Therapist in Gothenburg, NE

Mr. Craig Allen Johnson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 910 20th St, Gothenburg, NE 69138 Phone: 308-537-4023
Kandace Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1307 Lake Ave, Gothenburg, NE 69138 Phone: 308-325-9140
Ms. Amanda Lathrop, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 910 20th St, Gothenburg, NE 69138 Phone: 308-537-6631
Landen Haake, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 910 20th St, Gothenburg, NE 69138 Phone: 308-529-1609

Kyle Ryan Fornoff, DPT - Medicare Physical Therapist in Gothenburg, NE