Mrs Mckenzie Renee Dolph, PT, DPT in Fremont, NE - Medicare Physical Therapist Provider

Mrs Mckenzie Renee Dolph, PT, DPT is a medicare enrolled "Physical Therapist" provider in Fremont, Nebraska. Her current practice location is 2123 E 23rd Ave S, Fremont, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 721-1112.

Mrs Mckenzie Renee Dolph is licensed to practice in * (Not Available) (license number ) 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 1164098869.

Contact Information

	Mrs Mckenzie Renee Dolph, PT, DPT
	2123 E 23rd Ave S, Fremont, NE 68025-2498
	(402) 721-1112
	(402) 721-1113

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mckenzie Renee Dolph
Gender	Female
Speciality	Physical Therapist
Location	2123 E 23rd Ave S, Fremont, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164098869
Provider Enumeration Date: 06/02/2021
Last Update Date: 06/02/2021

Medicare PECOS Information:

PECOS PAC ID: 4082014220
Enrollment ID: I20210610000431

Medical Identifiers

Medical identifiers for Mrs Mckenzie Renee Dolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164098869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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 Mckenzie Renee Dolph allows following entities to bill medicare on her behalf.

Provider Name	Nebraska Orthopaedic Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1023041399 PECOS PAC ID: 2769485267 Enrollment ID: O20060823000543

Provider Name	Key Physical Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710299169 PECOS PAC ID: 5991988693 Enrollment ID: O20110317000399

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 Mckenzie Renee Dolph 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 Mckenzie Renee Dolph, PT, DPT 2123 E 23rd Ave S, Fremont, NE 68025-2498 Ph: (402) 721-1112	Mrs Mckenzie Renee Dolph, PT, DPT 2123 E 23rd Ave S, Fremont, NE 68025-2498 Ph: (402) 721-1112

Reviews and Comments

Physical Therapist in Fremont, NE

Christian M Keays, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 N Bell St, Fremont, NE 68025 Phone: 402-512-3893
Fremont Therapy And Wellness Physical Therapist Medicare: Medicare Enrolled Practice Location: 410 N Bell St, Fremont, NE 68025 Phone: 402-512-3893
Nebraska Orthopaedic Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2123 E 23rd Ave S, Fremont, NE 68025 Phone: 402-721-1112 Fax: 402-721-1113
Chelsea M Jenner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 E 22nd St, Fremont, NE 68025 Phone: 402-721-3908 Fax: 402-721-4047
Christine Montes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 E 23rd St, Fremont, NE 68025 Phone: 402-727-3772
Alexandra T Muessel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3301 E Elkhorn Dr Ste 200, Fremont, NE 68025 Phone: 402-721-0235 Fax: 402-721-6167
Dr. Jamie Mae Larsen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1445 N Bell St, Fremont, NE 68025 Phone: 402-512-3893

Mrs Mckenzie Renee Dolph, PT, DPT - Medicare Physical Therapist in Fremont, NE