Philip Vande Pol, PT, DPT in Bothell, WA - Medicare Physical Therapist Provider

Philip Vande Pol, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bothell, Washington. His current practice location is 19017 120th Ave Ne Bldg 1, Suite 111, Bothell, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 489-3420.

Philip Vande Pol is licensed to practice in Washington (license number PT00010802) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639155237.

Contact Information

	Philip Vande Pol, PT, DPT
	19017 120th Ave Ne Bldg 1, Suite 111, Bothell, WA 98011-9510
	(425) 489-3420
	(425) 489-3421

Map and Direction

Healthcare Provider's Profile

Full Name	Philip Vande Pol
Gender	Male
Speciality	Physical Therapist
Location	19017 120th Ave Ne Bldg 1, Bothell, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639155237
Provider Enumeration Date: 12/16/2005
Last Update Date: 11/03/2010

Medicare PECOS Information:

PECOS PAC ID: 1557306610
Enrollment ID: I20071218000551

Medical Identifiers

Medical identifiers for Philip Vande Pol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639155237	NPI	-	NPPES
1639155237	Medicaid	WA
8501348	Medicaid	WA
278011	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4927 (Oregon)	Secondary
225100000X	Physical Therapist	PT00010802 (Washington)	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. Philip Vande Pol allows following entities to bill medicare on his behalf.

Provider Name	King County Public Hospital District No 2
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557

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. Philip Vande Pol 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
Philip Vande Pol, PT, DPT 11481 Sw Hall Blvd, Ste 201, Portland, OR 97223-8403 Ph: (800) 219-8835	Philip Vande Pol, PT, DPT 19017 120th Ave Ne Bldg 1, Suite 111, Bothell, WA 98011-9510 Ph: (425) 489-3420

Reviews and Comments

Physical Therapist in Bothell, WA

Jane Ellen Baumgartner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3330 Monte Villa Pkwy, Bothell, WA 98021 Phone: 425-408-6000
Michelle C Wendt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22910 Bothell Everett Hwy Ste 107, Bothell, WA 98021 Phone: 425-686-7656 Fax: 425-341-9034
Shraddha Shirsat, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17901 Bothell Everett Hwy Ste F-104, Bothell, WA 98012 Phone: 425-424-3924 Fax: 425-424-3941
Lauren B Jentges, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1909 214th St Se, Suite 300, Bothell, WA 98021 Phone: 425-412-7200
Andrew Michael Wojcik, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3330 Monte Villa Pkwy, Bothell, WA 98021 Phone: 425-408-7733
Neha Bhagwat, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 228th St Sw, Bothell, WA 98021 Phone: 425-481-8500
Jody Gustafson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3330 Monte Villa Pkwy, Bothell, WA 98021 Phone: 425-408-5570

Philip Vande Pol, PT, DPT - Medicare Physical Therapist in Bothell, WA