Stephanie Kettelson, DPT in Wray, CO - Medicare Physical Therapist Provider

Stephanie Kettelson, DPT is a medicare enrolled "Physical Therapist" provider in Wray, Colorado. Her current practice location is 700 Main St, Wray, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 332-3450.

Stephanie Kettelson is licensed to practice in Colorado (license number 15346) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831685775.

Contact Information

	Stephanie Kettelson, DPT
	700 Main St, Wray, CO 80758-1739
	(970) 332-3450
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Kettelson
Gender	Female
Speciality	Physical Therapist
Location	700 Main St, Wray, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831685775
Provider Enumeration Date: 07/03/2018
Last Update Date: 10/01/2021

Medicare PECOS Information:

PECOS PAC ID: 5294088977
Enrollment ID: I20181025002581

Medical Identifiers

Medical identifiers for Stephanie Kettelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831685775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15346 (Colorado)	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. Stephanie Kettelson allows following entities to bill medicare on her behalf.

Provider Name	Wray Community District Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477587202 PECOS PAC ID: 3274425038 Enrollment ID: O20040326000383

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. Stephanie Kettelson 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
Stephanie Kettelson, DPT 700 Main St, Wray, CO 80758-1739 Ph: (970) 332-3450	Stephanie Kettelson, DPT 700 Main St, Wray, CO 80758-1739 Ph: (970) 332-3450

Reviews and Comments

Physical Therapist in Wray, CO

Mark Mcdonald Phys Ther Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7th And Main, Wray, CO 80758 Phone: 970-332-3471 Fax: 970-332-3487
Megan Renae Schipper, Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 Main St, Wray, CO 80758 Phone: 970-332-3450
Mrs. Rebecca Jo Smith, DR Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Main St, Wray, CO 80758 Phone: 970-332-3471
Gregory Collins, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 Main St, Wray, CO 80758 Phone: 970-332-3471
Wray Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Main St, Wray, CO 80758 Phone: 970-332-3450

Stephanie Kettelson, DPT - Medicare Physical Therapist in Wray, CO