Mitchell Herman Fonley, PT in Waterloo, IA - Medicare Physical Therapy Provider

Mitchell Herman Fonley, PT is a medicare enrolled "Physical Therapist" provider in Waterloo, Iowa. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Cedar Valley Medical Specialists Pc and his current practice location is 1631 Logan Ave, Waterloo, Iowa. You can reach out to his office (for appointments etc.) via phone at (319) 232-2630.

Mitchell Herman Fonley is licensed to practice in Iowa (license number 03651) 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 1992758163.

Contact Information

	Mitchell Herman Fonley, PT
	1631 Logan Ave, Waterloo, IA 50703-1237
	(319) 232-2630
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mitchell Herman Fonley
Gender	Male
Speciality	Physical Therapy
Experience	21 Years
Location	1631 Logan Ave, Waterloo, Iowa
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:

Mitchell Herman Fonley graduated from medical school in 2003

NPI Data:

NPI Number: 1992758163
Provider Enumeration Date: 05/18/2006
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 2264427020
Enrollment ID: I20040420000270

Medical Identifiers

Medical identifiers for Mitchell Herman Fonley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992758163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	03651 (Iowa)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cedar Valley Medical Specialists Pc	1759291487	104

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. Mitchell Herman Fonley allows following entities to bill medicare on his behalf.

Provider Name	Cedar Valley Medical Specialists Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497794242 PECOS PAC ID: 1759291487 Enrollment ID: O20031208000462

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. Mitchell Herman Fonley 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
Mitchell Herman Fonley, PT Po Box 2758, Waterloo, IA 50704-2758 Ph: (319) 833-5900	Mitchell Herman Fonley, PT 1631 Logan Ave, Waterloo, IA 50703-1237 Ph: (319) 232-2630

Reviews and Comments

Physical Therapist in Waterloo, IA

Marissa Stalder, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3560 Kimball Ave, Waterloo, IA 50702 Phone: 319-233-6995 Fax: 319-233-7083
Justine Zikuda, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3820 Pheasant Ln, Waterloo, IA 50701 Phone: 319-233-6995
Kris Marcks, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 815 Tower Park Dr, Waterloo, IA 50701 Phone: 319-233-6995 Fax: 319-233-7083
Shayla Mcintyre, PT, DPT, CLT-LANA Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2160 Logan Ave, Waterloo, IA 50703 Phone: 319-226-8560 Fax: 319-226-8565
Ms. Kyle Marie Scheidel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2651 Saint Francis Dr, Waterloo, IA 50702 Phone: 319-236-6942
Dr. Robert Paul Sarver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2160 Logan Ave, Waterloo, IA 50703 Phone: 319-226-8560 Fax: 319-226-8565
Marie Anne Andren, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2001 Heath St, Waterloo, IA 50703 Phone: 319-234-4423

Mitchell Herman Fonley, PT - Medicare Physical Therapist in Waterloo, IA