Ms Dana F Van Der Kieft, PT - Medicare Physical Therapist in Canby, OR

Ms Dana F Van Der Kieft, PT is a medicare enrolled "Physical Therapist" provider in Canby, Oregon. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Action Potential Llc and her current practice location is 308 N Ivy St, Canby, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 263-6786.

Ms Dana F Van Der Kieft is licensed to practice in Oregon (license number 5156) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003871120.

Contact Information

Ms Dana F Van Der Kieft, PT
308 N Ivy St,
Canby, OR 97013-3704
(503) 263-6786
(503) 263-6451

Map and Direction




Healthcare Provider's Profile

Full NameMs Dana F Van Der Kieft
GenderFemale
SpecialityPhysical Therapy
Experience20 Years
Location308 N Ivy St, Canby, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Dana F Van Der Kieft graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1003871120
  • Provider Enumeration Date: 04/20/2006
  • Last Update Date: 10/23/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0042311821
  • Enrollment ID: I20161024001845

Medical Identifiers

Medical identifiers for Ms Dana F Van Der Kieft such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003871120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5156 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Action Potential Llc185060531214

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. Ms Dana F Van Der Kieft allows following entities to bill medicare on her behalf.
Provider NameOrthopedic And Sports Physical Therapy Services Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588661235
PECOS PAC ID: 4082507660
Enrollment ID: O20150508000371
Provider NameAction Potential Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1831478692
PECOS PAC ID: 1850605312
Enrollment ID: O20150729007141

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. Ms Dana F Van Der Kieft 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 AddressPractice Location Address
Ms Dana F Van Der Kieft, PT
Po Box 52194, Dept Code 960,
Phoenix, AZ 85072-2194

Ph: (503) 489-1781
Ms Dana F Van Der Kieft, PT
308 N Ivy St,
Canby, OR 97013-3704

Ph: (503) 263-6786

Reviews and Comments


Physical Therapist in Canby, OR

Ms. Jessica Ellen Karlson, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1577 South Ivy St., Canby, OR 97013
Phone: 503-266-5541    Fax: 503-266-5544
Daniel Richard Ryan, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 308 N Ivy St, Canby, OR 97013
Phone: 503-263-6786    Fax: 503-567-0635
Mr. Tyler Marc Bohnet, MPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 308 N Ivy St, Canby, OR 97013
Phone: 503-263-6786    Fax: 503-263-6451
Christian Ricardo Miranda, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 200 S Hazel Dell Way Ste 210, Canby, OR 97013
Phone: 503-263-9550    
Kristin Jane Zosel, MS PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 308 N Ivy St, Canby, OR 97013
Phone: 503-263-6786    Fax: 503-263-6451
Jennifer Bissig, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 365 S Redwood St, Canby, OR 97013
Phone: 503-651-2020    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.