Mrs Krista Rose Brandenburg, PT, MS is a medicare enrolled "Physical Therapist" provider in Irvine, Kentucky. Her current practice location is
411 Bertha Wallace Dr, Irvine, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 723-5153.
Mrs Krista Rose Brandenburg is licensed to practice in Kentucky (license number 004139) 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 1639376155.
Healthcare Provider's Profile
Full Name | Mrs Krista Rose Brandenburg |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 411 Bertha Wallace Dr, Irvine, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639376155
- Provider Enumeration Date: 06/28/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8123464161
- Enrollment ID: I20240312003405
Medical Identifiers
Medical identifiers for Mrs Krista Rose Brandenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639376155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 004139 (Kentucky) | 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 Krista Rose Brandenburg allows following entities to bill medicare on her behalf.
Provider Name | Empowerme Rehabilitation Kentucky, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1275166696 PECOS PAC ID: 1850729211 Enrollment ID: O20200402002590 |
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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 Krista Rose Brandenburg 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 Krista Rose Brandenburg, PT, MS 114 Ann St, Irvine, KY 40336-1066 Ph: (606) 723-5153 | Mrs Krista Rose Brandenburg, PT, MS 411 Bertha Wallace Dr, Irvine, KY 40336-9418 Ph: (606) 723-5153 |
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