Mr Keefe Charles Fugleberg, PT in Sarasota, FL - Medicare Physical Therapy Provider

Mr Keefe Charles Fugleberg, PT is a medicare enrolled "Physical Therapist" provider in Sarasota, Florida. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Club 50, Llc and his current practice location is 1727 2nd St Ste 2, Sarasota, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 951-0170.

Mr Keefe Charles Fugleberg is licensed to practice in Florida (license number PT18366) 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 1790760924.

Contact Information

	Mr Keefe Charles Fugleberg, PT
	1727 2nd St Ste 2, Sarasota, FL 34236-8524
	(941) 951-0170
	(941) 993-1088

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Keefe Charles Fugleberg
Gender	Male
Speciality	Physical Therapy
Experience	26 Years
Location	1727 2nd St Ste 2, Sarasota, Florida
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:

Mr Keefe Charles Fugleberg graduated from medical school in 1998

NPI Data:

NPI Number: 1790760924
Provider Enumeration Date: 12/09/2005
Last Update Date: 11/06/2018

Medicare PECOS Information:

PECOS PAC ID: 3173515681
Enrollment ID: I20040402000090

Medical Identifiers

Medical identifiers for Mr Keefe Charles Fugleberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790760924	NPI	-	NPPES
PT18366	Other	FL	LICENSE
Y9793	Other	FL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT18366 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Club 50, Llc	4789902578	7

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. Mr Keefe Charles Fugleberg allows following entities to bill medicare on his behalf.

Provider Name	Club 50, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386034825 PECOS PAC ID: 4789902578 Enrollment ID: O20150407000842

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. Mr Keefe Charles Fugleberg 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
Mr Keefe Charles Fugleberg, PT 1727 2nd St Ste 2, Sarasota, FL 34236-8524 Ph: (941) 951-0170	Mr Keefe Charles Fugleberg, PT 1727 2nd St Ste 2, Sarasota, FL 34236-8524 Ph: (941) 951-0170

Reviews and Comments

Physical Therapist in Sarasota, FL

The Weston Group Of Florida Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5311 Proctor Rd, Sarasota, FL 34233 Phone: 941-538-0950
Active Life Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Sawyer Rd, Sarasota, FL 34233 Phone: 941-586-7110 Fax: 941-921-4820
Kevin Steele, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2055 Wood St Ste 110, Sarasota, FL 34237 Phone: 941-330-1677 Fax: 941-330-1688
Joyce Hegeman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1959 N Honore Ave, Sarasota, FL 34235 Phone: 941-462-3980 Fax: 941-371-6827
Michael Ehlers, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2750 Bahia Vista St, Sarasota, FL 34239 Phone: 941-951-2663
Kyle Backofen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6150 N Lockwood Ridge Rd, Sarasota, FL 34243 Phone: 941-960-4741
Melissa Guet, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 University Pkwy Ste 103, Sarasota, FL 34243 Phone: 941-444-5970

Mr Keefe Charles Fugleberg, PT - Medicare Physical Therapist in Sarasota, FL