Taylor Mitacek, DPT in Grimes, IA - Medicare Physical Therapist Provider

Taylor Mitacek, DPT is a medicare enrolled "Physical Therapist" provider in Grimes, Iowa. His current practice location is 241 Se Destination Dr, Grimes, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 986-5190.

Taylor Mitacek is licensed to practice in Iowa (license number 123558) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497253223.

Contact Information

	Taylor Mitacek, DPT
	241 Se Destination Dr, Grimes, IA 50111-1247
	(515) 986-5190
	(515) 986-5194

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor Mitacek
Gender	Male
Speciality	Physical Therapist
Location	241 Se Destination Dr, Grimes, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497253223
Provider Enumeration Date: 01/26/2018
Last Update Date: 01/23/2024

Medicare PECOS Information:

PECOS PAC ID: 6204198948
Enrollment ID: I20240127000187

Medical Identifiers

Medical identifiers for Taylor Mitacek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497253223	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	123558 (Iowa)	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. Taylor Mitacek allows following entities to bill medicare on his behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20150820012358

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. Taylor Mitacek 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
Taylor Mitacek, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: () -	Taylor Mitacek, DPT 241 Se Destination Dr, Grimes, IA 50111-1247 Ph: (515) 986-5190

Reviews and Comments

Physical Therapist in Grimes, IA

Kody Lueders, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 241 Se Destination Dr # 200, Grimes, IA 50111 Phone: 515-986-5190 Fax: 515-986-5194
Matthew Goes, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 241 Se Destination Dr, Grimes, IA 50111 Phone: 515-986-5190 Fax: 515-986-5194
Jacob Lincoln Stearns, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1220 Ne Station Xing Ste 105, Grimes, IA 50111 Phone: 515-984-0075
Jacob Frederick Phillips, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1451 Se 3rd St Ste 500, Grimes, IA 50111 Phone: 515-986-5190 Fax: 515-986-5194
Caleb R Gilbertson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 241 Se Destination Dr Ste 200, Grimes, IA 50111 Phone: 515-986-5190 Fax: 515-986-5194
Paul L Ouverson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 W 1st St, Suite H, Grimes, IA 50111 Phone: 515-986-9667 Fax: 515-986-9642
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 241 Se Destination Dr Ste 200, Grimes, IA 50111 Phone: 515-986-5190 Fax: 515-986-5194

Taylor Mitacek, DPT - Medicare Physical Therapist in Grimes, IA