Misti D Fiddelke, MPT in Ravenna, NE - Medicare Physical Therapy Provider

Misti D Fiddelke, MPT is a medicare enrolled "Physical Therapist" provider in Ravenna, Nebraska. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Family Physical Therapy And Sports Center and her current practice location is 321 Grand Ave, Ravenna, Nebraska. You can reach out to her office (for appointments etc.) via phone at (308) 452-7154.

Misti D Fiddelke is licensed to practice in Nebraska (license number 1761) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629023031.

Contact Information

	Misti D Fiddelke, MPT
	321 Grand Ave, Ravenna, NE 68869-1321
	(308) 452-7154
	(308) 452-3394

Map and Direction

Healthcare Provider's Profile

Full Name	Misti D Fiddelke
Gender	Female
Speciality	Physical Therapy
Experience	26 Years
Location	321 Grand Ave, Ravenna, Nebraska
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Misti D Fiddelke graduated from medical school in 1998

NPI Data:

NPI Number: 1629023031
Provider Enumeration Date: 05/24/2006
Last Update Date: 10/24/2022

Medicare PECOS Information:

PECOS PAC ID: 8820286305
Enrollment ID: I20101228000445

Medical Identifiers

Medical identifiers for Misti D Fiddelke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629023031	NPI	-	NPPES
470769316	Medicaid	NE
39601	Other	NE	BLUE CROSS BLUE SHIELD
650024438	Other	NE	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1761 (Nebraska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Physical Therapy And Sports Center	7214970177	33

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. Misti D Fiddelke allows following entities to bill medicare on her behalf.

Provider Name	Family Physical Therapy & Sports Center
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1356373658 PECOS PAC ID: 7214970177 Enrollment ID: O20050602000441

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. Misti D Fiddelke 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
Misti D Fiddelke, MPT 321 Grand Ave, Ravenna, NE 68869-1321 Ph: (308) 452-7154	Misti D Fiddelke, MPT 321 Grand Ave, Ravenna, NE 68869-1321 Ph: (308) 452-7154

Reviews and Comments

Physical Therapist in Ravenna, NE

Hilary Bolling, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41750 Carthage Rd, Ravenna, NE 68869 Phone: 308-452-3249
Family Physical Therapy & Sports Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Grand Ave, Ravenna, NE 68869 Phone: 308-452-7154 Fax: 308-452-7154

Misti D Fiddelke, MPT - Medicare Physical Therapist in Ravenna, NE