Mrs Angela Nicole Childress, DPT in Lebanon, MO - Medicare Physical Therapist Provider

Mrs Angela Nicole Childress, DPT is a medicare enrolled "Physical Therapist" provider in Lebanon, Missouri. Her current practice location is 331 Hospital Dr Ste D, Lebanon, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 533-6315.

Mrs Angela Nicole Childress is licensed to practice in Missouri (license number 2010028886) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366721490.

Contact Information

	Mrs Angela Nicole Childress, DPT
	331 Hospital Dr Ste D, Lebanon, MO 65536-9251
	(417) 533-6315
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Angela Nicole Childress
Gender	Female
Speciality	Physical Therapist
Location	331 Hospital Dr Ste D, Lebanon, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366721490
Provider Enumeration Date: 08/07/2011
Last Update Date: 08/07/2011

Medicare PECOS Information:

PECOS PAC ID: 5193972669
Enrollment ID: I20120906000293

Medical Identifiers

Medical identifiers for Mrs Angela Nicole Childress such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366721490	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2010028886 (Missouri)	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. Mrs Angela Nicole Childress allows following entities to bill medicare on her behalf.

Provider Name	Empowerme Rehabilitation Missouri Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1417479494 PECOS PAC ID: 9234402470 Enrollment ID: O20170908002930

Provider Name	Empowerme Wellness Kansas City Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083208391 PECOS PAC ID: 9830504836 Enrollment ID: O20210308002804

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. Mrs Angela Nicole Childress 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
Mrs Angela Nicole Childress, DPT 111 Cedar Crest Dr, Lebanon, MO 65536-3780 Ph: (417) 531-1252	Mrs Angela Nicole Childress, DPT 331 Hospital Dr Ste D, Lebanon, MO 65536-9251 Ph: (417) 533-6315

Reviews and Comments

Physical Therapist in Lebanon, MO

Amy Patricia Dunckel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Hospital Dr, Suite D, Lebanon, MO 65536 Phone: 417-533-6315
Dalton Emerson West, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 842 Lynn St, Lebanon, MO 65536 Phone: 417-272-4384
Mr. Jonathan Douglas Wayne Reagan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23510 Hwy East 32, Lebanon, MO 65536 Phone: 417-718-0712
Kelly Alexander, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 144 Evergreen Pkwy, Lebanon, MO 65536 Phone: 417-991-3440 Fax: 417-991-3445
Advance Physical Therapy & Sports Medicine Of Lebanon, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 144 Evergreen Parkway, Lebanon, MO 65536 Phone: 217-222-6800 Fax: 217-222-0037
Stetson Wayne Reed, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 144 Evergreen Pkwy, Lebanon, MO 65536 Phone: 417-657-8000 Fax: 877-496-3919
Mrs. Chara Leigh Jensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Hospital Dr, Suite D, Lebanon, MO 65536 Phone: 417-533-6315 Fax: 417-533-6320

Mrs Angela Nicole Childress, DPT - Medicare Physical Therapist in Lebanon, MO