Stephanie W Cisneros, PT in Beaverton, OR - Medicare Physical Therapist Provider

Stephanie W Cisneros, PT is a medicare enrolled "Physical Therapist" provider in Beaverton, Oregon. Her current practice location is 14603 Sw Teal Blvd, Beaverton, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 709-7193.

Stephanie W Cisneros is licensed to practice in * (Not Available) (license number ) 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 1467534412.

Contact Information

	Stephanie W Cisneros, PT
	14603 Sw Teal Blvd, Beaverton, OR 97007-6194
	(971) 709-7193
	(503) 567-2732

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie W Cisneros
Gender	Female
Speciality	Physical Therapist
Location	14603 Sw Teal Blvd, Beaverton, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467534412
Provider Enumeration Date: 10/19/2006
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 3173611944
Enrollment ID: I20190716002343

Medical Identifiers

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

Identifier	Type	State	Issuer
1467534412	NPI	-	NPPES
5550830003	Other	AZ	MEDICARE NSC PEORIA
5550830004	Other	AZ	MEDICARE NSC PV
5550830008	Other	AZ	MEDICARE NSC SWV
5550830001	Other	AZ	MEDICARE NSC SCW
5550830009	Other	AZ	MEDICARE NSC AZ NORTH
5550830007	Other	AZ	MEDICARE NSC DV
5550830010	Other	AZ	MEDICARE NSC GILBERT
5550830006	Other	AZ	MEDICARE NSC ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	7438 (Arizona)	Secondary
2251H1200X	Physical Therapist - Hand	PT60839924 (Washington)	Secondary
2251X0800X	Physical Therapist - Orthopedic	7438 (Arizona)	Secondary
225100000X	Physical Therapist	(* (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. 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 W Cisneros allows following entities to bill medicare on her behalf.

Provider Name	Erhardt Physical Therapy And Sports Medicine Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326110313 PECOS PAC ID: 1153214739 Enrollment ID: O20040206000241

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 W Cisneros 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 W Cisneros, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Stephanie W Cisneros, PT 14603 Sw Teal Blvd, Beaverton, OR 97007-6194 Ph: (971) 709-7193

Reviews and Comments

Physical Therapist in Beaverton, OR

Krystyna Lee Lue, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8354 Sw Nimbus Ave, Beaverton, OR 97008 Phone: 971-219-4899
Brynne Begalke, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007 Phone: 503-216-8825
Marylou Strong, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-520-4950 Fax: 503-626-5529
Amy Jo C Tanous, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13470 Sw Farmington Rd, Beaverton, OR 97005 Phone: 503-644-3311 Fax: 503-627-0112
Meruu Core Choice Rehabilitation Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1975 Nw 167th Pl # 100-43, Beaverton, OR 97006 Phone: 971-205-2630
Tyler Baca, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3925 Sw 153rd Dr Ste 210, Beaverton, OR 97003 Phone: 971-727-8155
Linda Marie Froemming, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Sw Bowerman Dr # Bj1, Beaverton, OR 97005 Phone: 503-671-3962

Stephanie W Cisneros, PT - Medicare Physical Therapist in Beaverton, OR