Mr Pawel Jakub Kostulak, DPT in Sunset Valley, TX - Medicare Physical Therapist Provider

Mr Pawel Jakub Kostulak, DPT is a medicare enrolled "Physical Therapist" provider in Sunset Valley, Texas. His current practice location is 5601 Brodie Ln Ste 640, Sunset Valley, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 580-3055.

Mr Pawel Jakub Kostulak is licensed to practice in Texas (license number 1076099) 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 1427192624.

Contact Information

	Mr Pawel Jakub Kostulak, DPT
	5601 Brodie Ln Ste 640, Sunset Valley, TX 78745-2551
	(512) 580-3055
	(512) 580-3056

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Pawel Jakub Kostulak
Gender	Male
Speciality	Physical Therapist
Location	5601 Brodie Ln Ste 640, Sunset Valley, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427192624
Provider Enumeration Date: 02/19/2007
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 2860433604
Enrollment ID: I20050521000062

Medical Identifiers

Medical identifiers for Mr Pawel Jakub Kostulak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427192624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1076099 (Texas)	Primary

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 Pawel Jakub Kostulak allows following entities to bill medicare on his behalf.

Provider Name	Agilitas Usa Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20160425001328

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 Pawel Jakub Kostulak 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 Pawel Jakub Kostulak, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () -	Mr Pawel Jakub Kostulak, DPT 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745-2551 Ph: (512) 580-3055

Reviews and Comments

Physical Therapist in Sunset Valley, TX

Katherine Owens, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745 Phone: 560-164-0787
Christopher Rhoades Harper Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745 Phone: 512-580-3055 Fax: 512-580-3056
Purvi Neel Shah, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745 Phone: 512-580-3055 Fax: 512-580-3056
Danielle Normand, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745 Phone: 512-580-3055 Fax: 512-580-3056
Mr. Casey Paul Hamilton, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745 Phone: 512-580-3055 Fax: 512-580-3056
Cecilia Darilek, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5601 Brodie Ln Ste 640, Sunset Valley, TX 78745 Phone: 512-580-3055 Fax: 512-580-3056

Mr Pawel Jakub Kostulak, DPT - Medicare Physical Therapist in Sunset Valley, TX