- Medicare in O Fallon, IL

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is a medicare enrolled "Clinic/center - Physical Therapy" provider in O Fallon, Illinois. Their current practice location is 210 Hartman Ln, Ste 500, O Fallon, Illinois. You can reach out to their office (for appointments etc.) via phone at (618) 589-9000.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 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 1801189642.

Contact Information

210 Hartman Ln, Ste 500,
O Fallon, IL 62269-1779
(618) 589-9000
(618) 589-9005

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Physical Therapy
Location210 Hartman Ln, O Fallon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801189642
  • Provider Enumeration Date: 05/26/2011
  • Last Update Date: 11/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6103096391
  • Enrollment ID: O20110825000403

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801189642NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (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. acts as a billing entity for following providers:
Provider NameKyle D Stein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790831485
PECOS PAC ID: 6608978234
Enrollment ID: I20070228000030
Provider NameDustin Richert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063779403
PECOS PAC ID: 7719139286
Enrollment ID: I20121207000121
Provider NameMegan Kamp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124412663
PECOS PAC ID: 5991025983
Enrollment ID: I20150514000934
Provider NameNicole A Amos
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326112988
PECOS PAC ID: 4385079482
Enrollment ID: I20200117002333

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. 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

15 Apex Dr,
Highland, IL 62249-1282

Ph: (877) 224-4354
210 Hartman Ln, Ste 500,
O Fallon, IL 62269-1779

Ph: (618) 589-9000

Reviews and Comments



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).

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