Mark Kevin Dwyer, PT is a medicare enrolled "Physical Therapist" provider in Louisburg, Kansas. His current practice location is
202 S Rogers Rd, Louisburg, Kansas. You can reach out to his office (for appointments etc.) via phone at
(314) 320-4893.
Mark Kevin Dwyer is licensed to practice in Kansas (license number 11-01347) 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 1518719392.
Healthcare Provider's Profile
| Full Name | Mark Kevin Dwyer |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 202 S Rogers Rd, Louisburg, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518719392
- Provider Enumeration Date: 04/04/2024
- Last Update Date: 04/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375761364
- Enrollment ID: I20240430003800
Medical Identifiers
Medical identifiers for Mark Kevin Dwyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518719392 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 11-01347 (Kansas) | 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. Mark Kevin Dwyer allows following entities to bill medicare on his behalf.
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801652326
PECOS PAC ID: 3971987207
Enrollment ID: O20240424000679 |
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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. Mark Kevin Dwyer 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 |
|---|
Mark Kevin Dwyer, PT
12484 S Hallet St,
Olathe, KS 66062-6087
Ph: (314) 320-4893 | Mark Kevin Dwyer, PT
202 S Rogers Rd,
Louisburg, KS 66053-4064
Ph: (314) 320-4893 |
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