Mr Kelly J Soukup, PT in Burnsville, MN - Medicare Physical Therapy Provider

Mr Kelly J Soukup, PT is a medicare enrolled "Physical Therapist" provider in Burnsville, Minnesota. 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 Infinite Health Collaborative Pa and his current practice location is 1000 W 140th St, Suite 202, Burnsville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 808-3052.

Mr Kelly J Soukup is licensed to practice in Minnesota (license number 7269) 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 1669419610.

Contact Information

	Mr Kelly J Soukup, PT
	1000 W 140th St, Suite 202, Burnsville, MN 55337-4480
	(952) 808-3052
	(952) 846-2202

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kelly J Soukup
Gender	Male
Speciality	Physical Therapy
Experience	26 Years
Location	1000 W 140th St, Burnsville, Minnesota
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 Kelly J Soukup graduated from medical school in 1998

NPI Data:

NPI Number: 1669419610
Provider Enumeration Date: 05/31/2006
Last Update Date: 04/20/2011

Medicare PECOS Information:

PECOS PAC ID: 7618158155
Enrollment ID: I20110216001081

Medical Identifiers

Medical identifiers for Mr Kelly J Soukup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669419610	NPI	-	NPPES
210K0SO	Other	MN	BLUECROSS BLUESHEILD
011698000	Medicaid	MN
6404216	Other	MN	MEDICA
HP39430	Other	MN	HEALTHPARTNERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	7269 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Infinite Health Collaborative Pa	1052225042	761

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 Kelly J Soukup allows following entities to bill medicare on his behalf.

Provider Name	Infinite Health Collaborative Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574

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 Kelly J Soukup 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 Kelly J Soukup, PT 19052 Inman Trl, Lakeville, MN 55044-4701 Ph: (952) 469-6925	Mr Kelly J Soukup, PT 1000 W 140th St, Suite 202, Burnsville, MN 55337-4480 Ph: (952) 808-3052

Reviews and Comments

Physical Therapist in Burnsville, MN

Jean Jentz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13955 W Preserve Blvd, Burnsville, MN 55337 Phone: 952-890-0804
Amy Martinez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8521 Fax: 952-993-8780
Ms. Debra Jean Weise, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 E Nicollet Blvd, #135, Burnsville, MN 55337 Phone: 952-892-2650
Stephen Florante Austria, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14101 Fairview Dr Ste 300, Burnsville, MN 55337 Phone: 952-892-2650
Kyle Zenk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14000 Nicollet Ave Ste 110, Burnsville, MN 55337 Phone: 952-892-6777 Fax: 952-892-0792
Joshua Olson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 W 140th St Unit 201, Burnsville, MN 55337 Phone: 952-808-3000
David J Filzen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14000 Nicollet Ave, Suite 200, Burnsville, MN 55337 Phone: 952-892-6777 Fax: 952-892-0792

Mr Kelly J Soukup, PT - Medicare Physical Therapist in Burnsville, MN