Mr Richard Warren Kruckeberg, PT, OCS, CHT in Mattoon, IL

Mr Richard Warren Kruckeberg, PT, OCS, CHT is a medicare enrolled "Physical Therapist" provider in Mattoon, Illinois. He graduated from medical school in 1978 and has 47 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Central Illinois Physical Therapy Professionals Ltd and his current practice location is 100 Professional Plz, Mattoon, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 345-1245.

Mr Richard Warren Kruckeberg is licensed to practice in Illinois (license number 070.002766) 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 1245362920.

Contact Information

	Mr Richard Warren Kruckeberg, PT, OCS, CHT
	100 Professional Plz, Mattoon, IL 61938-9252
	(217) 345-1245
	(217) 345-1253

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Richard Warren Kruckeberg
Gender	Male
Speciality	Physical Therapy
Experience	47 Years
Location	100 Professional Plz, Mattoon, Illinois
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 Richard Warren Kruckeberg graduated from medical school in 1978

NPI Data:

NPI Number: 1245362920
Provider Enumeration Date: 03/09/2007
Last Update Date: 09/19/2011

Medicare PECOS Information:

PECOS PAC ID: 4486819398
Enrollment ID: I20120627000226

Medical Identifiers

Medical identifiers for Mr Richard Warren Kruckeberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245362920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070.002766 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Illinois Physical Therapy Professionals Ltd	3678735206	2

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 Richard Warren Kruckeberg allows following entities to bill medicare on his behalf.

Provider Name	Central Illinois Physical Therapy Professionals Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1124246939 PECOS PAC ID: 3678735206 Enrollment ID: O20120427000156

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 Richard Warren Kruckeberg 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 Richard Warren Kruckeberg, PT, OCS, CHT 100 Professional Plz, Mattoon, IL 61938-9252 Ph: (217) 345-1245	Mr Richard Warren Kruckeberg, PT, OCS, CHT 100 Professional Plz, Mattoon, IL 61938-9252 Ph: (217) 345-1245

Reviews and Comments

Physical Therapist in Mattoon, IL

Kendall Giles, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1004 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2530 Fax: 217-258-4176
Jennifer Uberfluss, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525
Elizabeth H Jensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-235-3121 Fax: 217-235-3122
Douglas A Henness, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2530 Fax: 217-258-4176
Central Illinois Physical Therapy Professionals, Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Professional Plz, Mattoon, IL 61938 Phone: 217-345-1245 Fax: 217-345-1253
Teri Lyn Miller, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525
Carla A Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525

Mr Richard Warren Kruckeberg, PT, OCS, CHT - Medicare Physical Therapist in Mattoon, IL