Northwest Kansas Physical Therapy, Llc is a medicare enrolled "Physical Therapist" provider in Stockton, Kansas. Their current practice location is
421 Main St, Stockton, Kansas. You can reach out to their office (for appointments etc.) via phone at
(785) 415-2378.
Northwest Kansas Physical Therapy, Llc is licensed to practice in Kansas (license number LLC NO. 3598190) and it also participates in the medicare program. Northwest Kansas Physical Therapy, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1720089774.
Healthcare Provider's Profile
| Full Name | Northwest Kansas Physical Therapy, Llc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 421 Main St, Stockton, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720089774
- Provider Enumeration Date: 08/02/2005
- Last Update Date: 04/04/2013
Medicare PECOS Information:
- PECOS PAC ID: 6406830579
- Enrollment ID: O20180312001135
Medical Identifiers
Medical identifiers for Northwest Kansas Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720089774 | NPI | - | NPPES |
| 115633 | Other | KS | BLUE CROSS/BLUE SHIELD |
| 100319840B | Medicaid | KS | |
| DC6764 | Other | KS | RAILROAD MEDICARE |
| 590460 | Other | KS | 1ST GUARD. |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | LLC NO. 3598190 (Kansas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Northwest Kansas Physical Therapy, Llc acts as a billing entity for following providers:
| Provider Name | Dawn L Stephens |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1417953738
PECOS PAC ID: 8426032525
Enrollment ID: I20040617000328 |
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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. Northwest Kansas Physical Therapy, Llc 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 |
|---|
Northwest Kansas Physical Therapy, Llc
421 Main St,
Stockton, KS 67669-1929
Ph: (785) 415-2378 | Northwest Kansas Physical Therapy, Llc
421 Main St,
Stockton, KS 67669-1929
Ph: (785) 415-2378 |
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