Nichelle Keffler-roa, DPT in Antioch, CA - Medicare Physical Therapist Provider

Nichelle Keffler-roa, DPT is a medicare enrolled "Physical Therapist" provider in Antioch, California. Her current practice location is 5161 Lone Tree Way, Antioch, California. You can reach out to her office (for appointments etc.) via phone at (925) 522-8000.

Nichelle Keffler-roa 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 1780096644.

Contact Information

	Nichelle Keffler-roa, DPT
	5161 Lone Tree Way, Antioch, CA 94531-8689
	(925) 522-8000
	(925) 522-8008

Map and Direction

Healthcare Provider's Profile

Full Name	Nichelle Keffler-roa
Gender	Female
Speciality	Physical Therapist
Location	5161 Lone Tree Way, Antioch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780096644
Provider Enumeration Date: 05/27/2014
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 4183844020
Enrollment ID: I20140929000180

Medical Identifiers

Medical identifiers for Nichelle Keffler-roa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780096644	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. Nichelle Keffler-roa allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Nichelle Keffler-roa 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
Nichelle Keffler-roa, DPT 5161 Lone Tree Way, Antioch, CA 94531-8689 Ph: (925) 522-8000	Nichelle Keffler-roa, DPT 5161 Lone Tree Way, Antioch, CA 94531-8689 Ph: (925) 522-8000

Reviews and Comments

Physical Therapist in Antioch, CA

Mark Benjamin Taylor, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2213 Buchanan Rd, Suite 210, Antioch, CA 94509 Phone: 925-779-2592 Fax: 925-779-2521
Matthew Robert White, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5442
Thisbe Coleman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1210 A St, Antioch, CA 94509 Phone: 925-757-8787
Jacob Fredrickson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-6500
Jessica Conroy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4808 Golden Bear Dr, Antioch, CA 94531 Phone: 925-354-2298
Mrs. Jodi Sue Kabat, M.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 5161 Lone Tree Way, Antioch, CA 94531 Phone: 925-522-8000 Fax: 925-522-8008
Empowerme Physical Therapy, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3950 Lone Tree Way, Antioch, CA 94509 Phone: 844-502-7996

Nichelle Keffler-roa, DPT - Medicare Physical Therapist in Antioch, CA