Dr Kristine Sue Decant, DPT, NCS in Lake Villa, IL - Medicare Physical Therapist Provider

Dr Kristine Sue Decant, DPT, NCS is a medicare enrolled "Physical Therapist" provider in Lake Villa, Illinois. Her current practice location is 695 Park Ave, Lake Villa, Illinois. You can reach out to her office (for appointments etc.) via phone at (224) 541-9100.

Dr Kristine Sue Decant is licensed to practice in Illinois (license number 070017844) 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 1902973951.

Contact Information

	Dr Kristine Sue Decant, DPT, NCS
	695 Park Ave, Lake Villa, IL 60046-6531
	(224) 541-9100
	(224) 541-9070

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kristine Sue Decant
Gender	Female
Speciality	Physical Therapist
Location	695 Park Ave, Lake Villa, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902973951
Provider Enumeration Date: 11/28/2006
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1052326634
Enrollment ID: I20111221000466

Medical Identifiers

Medical identifiers for Dr Kristine Sue Decant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902973951	NPI	-	NPPES
59724004	Other	IL	MEDICARE PTAN
070017844	Other	IL	IL-LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251N0400X	Physical Therapist - Neurology	070017844 (Illinois)	Secondary
2251N0400X	Physical Therapist - Neurology	12665 (Wisconsin)	Secondary
225100000X	Physical Therapist	070017844 (Illinois)	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. Dr Kristine Sue Decant allows following entities to bill medicare on her behalf.

Provider Name	Advocate Health And Hospitals Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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. Dr Kristine Sue Decant 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
Dr Kristine Sue Decant, DPT, NCS 29373 Network Pl, Chicago, IL 60673-1293 Ph: () -	Dr Kristine Sue Decant, DPT, NCS 695 Park Ave, Lake Villa, IL 60046-6531 Ph: (224) 541-9100

Reviews and Comments

Physical Therapist in Lake Villa, IL

Mrs. Teresa Marie Beckman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 S Milwaukee Ave, Suite 201 Community Rehabilitation, Lake Villa, IL 60046 Phone: 847-265-3491 Fax: 847-265-3498
Kellsey L Rommelfanger, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 695 Park Ave, Lake Villa, IL 60046 Phone: 630-368-1776 Fax: 773-967-1112
Rachel Michels, Physical Therapist Medicare: Medicare Enrolled Practice Location: 695 Park Ave, Lake Villa, IL 60046 Phone: 630-368-1776
Amber Gore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 89 Cedar Ave, Lake Villa, IL 60046 Phone: 847-265-7300 Fax: 847-265-7301
Rasheed Mirza Baig, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18808 W Cottage Ave, Lake Villa, IL 60046 Phone: 847-274-8469 Fax: 847-223-4086
Colleen Skotnicki, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23408 W Apollo Ct, Lake Villa, IL 60046 Phone: 847-856-9014
Kalpana Patel, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 695 Park Ave, Lake Villa, IL 60046 Phone: 630-368-1776 Fax: 773-967-1112

Dr Kristine Sue Decant, DPT, NCS - Medicare Physical Therapist in Lake Villa, IL