Wilford Kyle Eiteman-pang, DPT in Agoura Hills, CA - Medicare Physical Therapy Provider

Wilford Kyle Eiteman-pang, DPT is a medicare enrolled "Physical Therapist" provider in Agoura Hills, California. He graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Mesisca Physical Therapy Inc and his current practice location is 28210 Dorothy Dr, Agoura Hills, California. You can reach out to his office (for appointments etc.) via phone at (310) 699-7346.

Wilford Kyle Eiteman-pang is licensed to practice in California (license number 300531) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1881356129.

Contact Information

	Wilford Kyle Eiteman-pang, DPT
	28210 Dorothy Dr, Agoura Hills, CA 91301-2297
	(310) 699-7346
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wilford Kyle Eiteman-pang
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	28210 Dorothy Dr, Agoura Hills, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Wilford Kyle Eiteman-pang graduated from medical school in 2021

NPI Data:

NPI Number: 1881356129
Provider Enumeration Date: 10/13/2021
Last Update Date: 10/13/2021

Medicare PECOS Information:

PECOS PAC ID: 2264821412
Enrollment ID: I20211110001251

Medical Identifiers

Medical identifiers for Wilford Kyle Eiteman-pang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881356129	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	300531 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mesisca Physical Therapy Inc	6406749548	14

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. Wilford Kyle Eiteman-pang allows following entities to bill medicare on his behalf.

Provider Name	Mesisca Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821104472 PECOS PAC ID: 6406749548 Enrollment ID: O20040203001148

Provider Name	Pro X Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518441849 PECOS PAC ID: 0547508467 Enrollment ID: O20190218002953

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. Wilford Kyle Eiteman-pang 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
Wilford Kyle Eiteman-pang, DPT 15340 Albright St Unit 301, Pacific Palisades, CA 90272-2528 Ph: (310) 699-7346	Wilford Kyle Eiteman-pang, DPT 28210 Dorothy Dr, Agoura Hills, CA 91301-2297 Ph: (310) 699-7346

Reviews and Comments

Physical Therapist in Agoura Hills, CA

A5 Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29219 Canwood St # 107, Agoura Hills, CA 91301 Phone: 617-605-0295
Mrs. Michele Alden Zeolla, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5927 Kanan Road, Agoura Hills, CA 91301 Phone: 818-889-0158 Fax: 818-889-4708
Lianne Elizabeth Messier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30135 Agoura Rd, Suite C, Agoura Hills, CA 91301 Phone: 818-707-7344
Mpe Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 30135 Agoura Rd Ste C, Agoura Hills, CA 91301 Phone: 818-707-7344 Fax: 818-707-7133
Mrs. Anne Hinrichs Malsin, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5236 Colodny Dr, Suite 205, Agoura Hills, CA 91301 Phone: 818-865-8135 Fax: 818-865-1757
Jmp Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30135 Agoura Rd, Suite C, Agoura Hills, CA 91301 Phone: 818-707-7344 Fax: 818-707-7133
Vargo Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30135 Agoura Rd Ste C, Agoura Hills, CA 91301 Phone: 818-707-7344 Fax: 818-707-7133

Wilford Kyle Eiteman-pang, DPT - Medicare Physical Therapist in Agoura Hills, CA