Stephanie King, DPT in Ontario, CA - Medicare Physical Therapist Provider

Stephanie King, DPT is a medicare enrolled "Physical Therapist" provider in Ontario, California. Her current practice location is 2295 S Vineyard Ave, Ontario, California. You can reach out to her office (for appointments etc.) via phone at (909) 427-6463.

Stephanie King is licensed to practice in California (license number PT 21111) 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 1750746723.

Contact Information

	Stephanie King, DPT
	2295 S Vineyard Ave, Ontario, CA 91761-7925
	(909) 427-6463
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie King
Gender	Female
Speciality	Physical Therapist
Location	2295 S Vineyard Ave, Ontario, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750746723
Provider Enumeration Date: 12/17/2015
Last Update Date: 04/13/2016

Medicare PECOS Information:

PECOS PAC ID: 4880993674
Enrollment ID: I20190513001480

Medical Identifiers

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

Identifier	Type	State	Issuer
1750746723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT 21111 (California)	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 King allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 King 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 King, DPT 512 Parker Dr, Apt 6, Glendora, CA 91741-4237 Ph: (559) 827-6722	Stephanie King, DPT 2295 S Vineyard Ave, Ontario, CA 91761-7925 Ph: (909) 427-6463

Reviews and Comments

Physical Therapist in Ontario, CA

Mr. Allan P. Dizon, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1950 S Mountain Ave, Ontario, CA 91762 Phone: 909-467-6183 Fax: 909-983-5814
Raheela A James, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1101 S Milliken Ave, Suite B, C, D, Ontario, CA 91761 Phone: 615-778-4066
Christine M Nator, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1101 S Milliken Ave, Suite B,c,d, Ontario, CA 91761 Phone: 615-778-4066
Sarah Elise Nowosad, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 833-574-2273
Brian Huang, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 909-724-5000
Fannyjane Dural, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 626-318-8471
Chinmay Patel, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 910 S Mountain Avenue Unite A, Ontario, CA 91762 Phone: 262-327-1535

Stephanie King, DPT - Medicare Physical Therapist in Ontario, CA