Mrs Kelli Ann Gursky, DPT in Lake Geneva, WI - Medicare Physical Therapist Provider

Mrs Kelli Ann Gursky, DPT is a medicare enrolled "Physical Therapist" provider in Lake Geneva, Wisconsin. Her current practice location is 700 Geneva Pkwy N, Lake Geneva, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 249-3500.

Mrs Kelli Ann Gursky is licensed to practice in Wisconsin (license number 15495) 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 1902477268.

Contact Information

	Mrs Kelli Ann Gursky, DPT
	700 Geneva Pkwy N, Lake Geneva, WI 53147-4594
	(262) 249-3500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelli Ann Gursky
Gender	Female
Speciality	Physical Therapist
Location	700 Geneva Pkwy N, Lake Geneva, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902477268
Provider Enumeration Date: 07/08/2021
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 1052715430
Enrollment ID: I20210806001422

Medical Identifiers

Medical identifiers for Mrs Kelli Ann Gursky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902477268	NPI	-	NPPES
100177646	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15495 (Wisconsin)	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 Kelli Ann Gursky allows following entities to bill medicare on her behalf.

Provider Name	Chad Novasic Pt Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1578679890 PECOS PAC ID: 2567365141 Enrollment ID: O20040130000368

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 Kelli Ann Gursky 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 Kelli Ann Gursky, DPT Po Box 735041, Chicago, IL 60673-5041 Ph: () -	Mrs Kelli Ann Gursky, DPT 700 Geneva Pkwy N, Lake Geneva, WI 53147-4594 Ph: (262) 249-3500

Reviews and Comments

Physical Therapist in Lake Geneva, WI

Erin E Mahoney, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500
Matthew Allen Hoffman, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500
Madalyn R Douglas, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4980 Fax: 262-245-2248
Kelly J Pauley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535
Kimberly K Dama, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535
Mrs. Tara M. Grocholski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500
Carling M. Johns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 800-638-2901 Fax: 262-245-2248

Mrs Kelli Ann Gursky, DPT - Medicare Physical Therapist in Lake Geneva, WI