Samantha Kidder, PT in Shoreline, WA - Medicare Physical Therapy Provider

Samantha Kidder, PT is a medicare enrolled "Physical Therapist" provider in Shoreline, Washington. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Prevail Practices Pllc and her current practice location is 17012 Aurora Ave N Ste 101, Shoreline, Washington. You can reach out to her office (for appointments etc.) via phone at (205) 706-7500.

Samantha Kidder is licensed to practice in Washington (license number 61175263) 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 1306411129.

Contact Information

	Samantha Kidder, PT
	17012 Aurora Ave N Ste 101, Shoreline, WA 98133-5315
	(205) 706-7500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Kidder
Gender	Female
Speciality	Physical Therapy
Experience	3 Years
Location	17012 Aurora Ave N Ste 101, Shoreline, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samantha Kidder graduated from medical school in 2021

NPI Data:

NPI Number: 1306411129
Provider Enumeration Date: 05/24/2021
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 7416351531
Enrollment ID: I20210811000531

Medical Identifiers

Medical identifiers for Samantha Kidder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306411129	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	61175263 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prevail Practices Pllc	2163781634	10

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. Samantha Kidder allows following entities to bill medicare on her behalf.

Provider Name	Real Rehab, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457353609 PECOS PAC ID: 5496748378 Enrollment ID: O20040406001304

Provider Name	Prevail Practices Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1740723915 PECOS PAC ID: 2163781634 Enrollment ID: O20180109002747

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. Samantha Kidder 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
Samantha Kidder, PT 17012 Aurora Ave N Ste 101, Shoreline, WA 98133-5315 Ph: () -	Samantha Kidder, PT 17012 Aurora Ave N Ste 101, Shoreline, WA 98133-5315 Ph: (205) 706-7500

Reviews and Comments

Physical Therapist in Shoreline, WA

Zan Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19549 Burke Ave N, Shoreline, WA 98133 Phone: 206-310-4389
Mark Woods, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19500 Ballinger Way Ne Ste 110, Shoreline, WA 98155 Phone: 206-333-4047
Devin Langaker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19500 Ballinger Way Ne Ste 110, Shoreline, WA 98155 Phone: 206-333-4047
Jamie Maloy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20109 Aurora Ave N Ste 105, Shoreline, WA 98133 Phone: 206-801-7546
Dawn Dolobowsky, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1227 N 205th St, Shoreline, WA 98133 Phone: 206-546-2220
Grace Fuk Wai Ma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19235 15th Ave Nw, Shoreline, WA 98177 Phone: 206-546-2666
Motus Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20109 Aurora Ave N Ste 105, Shoreline, WA 98133 Phone: 206-801-7546 Fax: 206-801-7547

Samantha Kidder, PT - Medicare Physical Therapist in Shoreline, WA