Charlene Kantack Anderson, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" physician in Newbury Park, California. She graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Orthopaedic And Neurological Rehab Inc and her current practice location is
238 Dickenson Ave, Newbury Park, California. You can reach out to her office (for appointments etc.) via phone at
(805) 551-5420.
Charlene Kantack Anderson is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003344003.
Physician's Profile
| Full Name | Charlene Kantack Anderson |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 35 Years |
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| Location | 238 Dickenson Ave, Newbury Park, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charlene Kantack Anderson graduated from medical school in 1989
NPI Data:
- NPI Number: 1003344003
- Provider Enumeration Date: 06/02/2017
- Last Update Date: 05/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688079163
- Enrollment ID: I20210820002704
Medical Identifiers
Medical identifiers for Charlene Kantack Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003344003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | PT16045 (California) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Orthopaedic And Neurological Rehab Inc | 6507159126 | 469 |
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. Charlene Kantack Anderson allows following entities to bill medicare on her behalf.
| Entity Name | Orthopaedic And Neurological Rehab Inc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1225496540
PECOS PAC ID: 6507159126
Enrollment ID: O20160720000431 |
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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. Charlene Kantack Anderson 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 |
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Charlene Kantack Anderson, PHYSICAL THERAPIST
238 Dickenson Ave,
Newbury Park, CA 91320-4326
Ph: () - | Charlene Kantack Anderson, PHYSICAL THERAPIST
238 Dickenson Ave,
Newbury Park, CA 91320-4326
Ph: (805) 551-5420 |
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