Staci Liliedahl-matiyow, DPT in Council Bluffs, IA - Medicare Physical Therapy Provider

Staci Liliedahl-matiyow, DPT is a medicare enrolled "Physical Therapist" provider in Council Bluffs, Iowa. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Hopp Physical Therapy Inc and her current practice location is 201 W Broadway, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 329-9419.

Staci Liliedahl-matiyow is licensed to practice in Iowa (license number 03634) 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 1831592708.

Contact Information

	Staci Liliedahl-matiyow, DPT
	201 W Broadway, Council Bluffs, IA 51503-9004
	(712) 329-9419
	(712) 329-0329

Map and Direction

Healthcare Provider's Profile

Full Name	Staci Liliedahl-matiyow
Gender	Female
Speciality	Physical Therapy
Experience	19 Years
Location	201 W Broadway, Council Bluffs, Iowa
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:

Staci Liliedahl-matiyow graduated from medical school in 2005

NPI Data:

NPI Number: 1831592708
Provider Enumeration Date: 10/06/2014
Last Update Date: 10/06/2014

Medicare PECOS Information:

PECOS PAC ID: 8729304621
Enrollment ID: I20150312001764

Medical Identifiers

Medical identifiers for Staci Liliedahl-matiyow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831592708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	03634 (Iowa)	Primary
225100000X	Physical Therapist	2218 (Nebraska)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hopp Physical Therapy Inc	2163317553	3

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. Staci Liliedahl-matiyow allows following entities to bill medicare on her behalf.

Provider Name	Hopp Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1154516136 PECOS PAC ID: 2163317553 Enrollment ID: O20131204000324

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. Staci Liliedahl-matiyow 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
Staci Liliedahl-matiyow, DPT 201 W Broadway, Council Bluffs, IA 51503-9004 Ph: (712) 329-9419	Staci Liliedahl-matiyow, DPT 201 W Broadway, Council Bluffs, IA 51503-9004 Ph: (712) 329-9419

Reviews and Comments

Physical Therapist in Council Bluffs, IA

Jennifer Nourse, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2306 Sherwood Dr, Council Bluffs, IA 51503 Phone: 712-322-1000
Bridget Epperson, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 Valley View Dr, Suite 7, Council Bluffs, IA 51503 Phone: 712-256-1800
Jennifer Lee Young, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 105 Surrey Ave, Council Bluffs, IA 51503 Phone: 712-310-9118
Simply Young, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 105 Surrey Ave, Council Bluffs, IA 51503 Phone: 712-310-9118
Tanner Sand, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1260 Valley View Dr, Council Bluffs, IA 51503 Phone: 712-396-2000
Alisha Baas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 W Broadway, Council Bluffs, IA 51503 Phone: 712-329-9419 Fax: 712-329-0329
Ronald Reales, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Elliott St, Council Bluffs, IA 51503 Phone: 712-328-9500

Staci Liliedahl-matiyow, DPT - Medicare Physical Therapist in Council Bluffs, IA