Mr Kenneth Lagua Adivino, PT, MS in Beckley, WV - Medicare Physical Therapist Provider

Mr Kenneth Lagua Adivino, PT, MS is a medicare enrolled "Physical Therapist" provider in Beckley, West Virginia. His current practice location is 306 Stanaford Rd, Beckley, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 255-3302.

Mr Kenneth Lagua Adivino is licensed to practice in West Virginia (license number PT003604) 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 1184087793.

Contact Information

	Mr Kenneth Lagua Adivino, PT, MS
	306 Stanaford Rd, Beckley, WV 25801-3142
	(304) 255-3302
	(304) 254-2783

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kenneth Lagua Adivino
Gender	Male
Speciality	Physical Therapist
Location	306 Stanaford Rd, Beckley, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184087793
Provider Enumeration Date: 03/31/2016
Last Update Date: 03/31/2016

Medicare PECOS Information:

PECOS PAC ID: 4981059359
Enrollment ID: I20231005001446

Medical Identifiers

Medical identifiers for Mr Kenneth Lagua Adivino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184087793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT003604 (West Virginia)	Primary
225100000X	Physical Therapist	4669 (New Mexico)	Secondary

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 Kenneth Lagua Adivino allows following entities to bill medicare on his behalf.

Provider Name	Integrated Rehabilitation Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154369833 PECOS PAC ID: 0042111718 Enrollment ID: O20040115000944

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 Kenneth Lagua Adivino 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 Kenneth Lagua Adivino, PT, MS 306 Stanaford Rd, Beckley, WV 25801-3142 Ph: (304) 255-3302	Mr Kenneth Lagua Adivino, PT, MS 306 Stanaford Rd, Beckley, WV 25801-3142 Ph: (304) 255-3302

Reviews and Comments

Physical Therapist in Beckley, WV

Mrs. Angela Michelle Strickland, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2233 S Kanawha St, Beckley, WV 25801 Phone: 304-255-9248 Fax: 304-255-9237
Catherine Canizares, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Stanaford Rd, Beckley, WV 25801 Phone: 304-255-3302 Fax: 304-254-2783
Adriel R. Green, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Yellow Wood Way, Beckley, WV 25801 Phone: 304-255-2376 Fax: 304-255-7120
Jukey Dotson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 423 Carriage Dr, Beckley, WV 25801 Phone: 304-253-7246 Fax: 304-253-7250
Charles Dodson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Neville St, Beckley, WV 25801 Phone: 304-256-4712
John Beasley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 423 Carriage Dr, Beckley, WV 25801 Phone: 304-253-7246 Fax: 304-253-7250
Michael P Bates, PT CCM Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Yellow Wood Way, Beckley, WV 25801 Phone: 304-255-2376 Fax: 304-255-7120

Mr Kenneth Lagua Adivino, PT, MS - Medicare Physical Therapist in Beckley, WV